Individual
DR. MICHAEL ANTHONY SALVATORE AGOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, 119, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
2940 CRESCENT AVE, APT 251, EUGENE, OR 97408-7417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013628
OR
Other
Enumeration date
07/29/2013
Last updated
08/31/2015
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