Individual
DR. ANDREW CRAIG MOCNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5420 NE 33RD AVE, PORTLAND, OR 97211-7404
(971) 230-0153
Mailing address
8150 SW BARNES RD, PORTLAND, OR 97225-6372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015665
OR
Other
Enumeration date
10/05/2016
Last updated
03/29/2017
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