Individual
VICTORIA ORCHID JIN BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 S MAIN ST, MYRTLE CREEK, OR 97457-9334
(541) 863-6383
Mailing address
821 S MAIN ST, MYRTLE CREEK, OR 97457-9334
(541) 863-6383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018158
OR
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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