Individual
JESSICA R HORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
629 NORTH HIGHWAY 20, HINES, OR 97738
(541) 573-1523
(541) 573-1502
Mailing address
PO BOX 585, HINES, OR 97738-0585
(541) 573-1523
(541) 573-1502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011136
OR
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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