Individual
JENNIFER M CADWALADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
725 8TH ST, SPRINGFIELD, OR 97477-4028
(661) 478-6104
Mailing address
725 8TH ST, SPRINGFIELD, OR 97477-4028
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0010718
OR
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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