Individual
MS. MARY F. FOLAN LAUCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, PORTLAND, OR 97222-4628
(971) 206-5202
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 101, PORTLAND, OR 97222-4628
(971) 206-5202
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0011523
OR
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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