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Individual

BRIAN CROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
220 S SENECA RD, EUGENE, OR 97402-2725
(541) 868-1761
(541) 345-0264
Mailing address
220 S SENECA RD, EUGENE, OR 97402-2725
(541) 868-1761
(541) 345-0264

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9140
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9140
STATE LICENSE
OR
Enumeration date
09/06/2013
Last updated
09/06/2013
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