Individual
JENNIFER FORDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38241 PROCTOR BLVD, SANDY, OR 97055-8019
(503) 668-1384
Mailing address
38241 PROCTOR BLVD, SANDY, OR 97055-8019
(503) 668-1384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011407
OR
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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