Individual
PATRICK JUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 974-5058
Mailing address
9761 SE 49TH AVE, MILWAUKIE, OR 97222-5115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018546
OR
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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