Individual
RODNEY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 GATEWAY ST, SPRINGFIELD, OR 97477-9413
(541) 521-0467
Mailing address
31074 LANES TURN RD, EUGENE, OR 97408-9413
(541) 521-0467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007121
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0007121
OR
Other
Enumeration date
07/31/2014
Last updated
10/08/2018
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