Individual
STACEY MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
60 DIVISION AVE, EUGENE, OR 97404-5427
(541) 461-1433
Mailing address
60 DIVISION AVE, EUGENE, OR 97404-5427
(541) 461-1433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9326
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9326
OR
Other
Enumeration date
03/13/2012
Last updated
04/25/2017
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