Individual
JACQUELINE CHINYERE AZODOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1455 EDGEWATER ST NW, SALEM, OR 97304-4633
(503) 365-2174
Mailing address
1958 LINWOOD ST NW APT 2053, SALEM, OR 97304-2383
(559) 796-2883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019840
OR
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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