Individual
ELIZABETH SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 GATEWAY ST, T-0612, SPRINGFIELD, OR 97477-1172
(541) 741-1547
Mailing address
2750 GATEWAY STREET, T-0612, SPRINGFIELD, OR 97477
(541) 741-1547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012868
OR
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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