Individual
ANDREA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 GOLDFISH FARM RD SE, ALBANY, OR 97322-5154
(541) 971-4062
Mailing address
820 8TH AVE SW, ALBANY, OR 97321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015407
OR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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