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Individual

MIRIAM NWAELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-6369
Mailing address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-6369

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH0014083
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH0014083
OR

Other

Enumeration date
01/14/2016
Last updated
02/24/2016
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