Individual
MR. KYLE R ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2855 BROADWAY ST NE, SALEM, OR 97303-6502
(503) 585-7222
(503) 391-2427
Mailing address
1584 SCOTCH AVE SE, SALEM, OR 97306-1408
(503) 588-3107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006316
OR
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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