Individual
JOHN MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
120 ANDREW DRIVE, COTTAGE GROVE, OR 97424
(541) 942-3930
(541) 767-0213
Mailing address
120 ANDREW DRIVE, COTTAGE GROVE, OR 97424
(541) 942-0940
(541) 767-0213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0008445
OR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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