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Individual

MR. C A LEON ALZOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3800 SE 22ND AVE, PORTLAND, OR 97202-2999
(503) 797-5754
(503) 797-3170
Mailing address
72 MCDONALD RD, WASHOUGAL, WA 98671-7910
(503) 797-5754
(503) 797-3170

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00015560
WA
183500000X
Pharmacist
Primary
RPH0009721
OR

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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