Individual
DANELLE LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
44 MICHIGAN AVE NE, BANDON, OR 97411-9743
(541) 347-9457
Mailing address
44 MICHIGAN AVE NE, BANDON, OR 97411-9743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016924
OR
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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