Individual
MRS. MELANIE BEVERLEE LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
1992 LANCASTER DR NE, SALEM, OR 97305-1021
(503) 362-4845
(503) 362-5137
Mailing address
1992 LANCASTER DR NE, SALEM, OR 97305-1021
(503) 362-4845
(503) 362-5137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0007520
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7520
OR
Other
Enumeration date
09/10/2009
Last updated
09/26/2021
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