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Individual

DAVID C ZANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
138 W ELLENDALE AVE, DALLAS, OR 97338-1408
(503) 831-6006
(503) 831-6008
Mailing address
138 W ELLENDALE AVE, DALLAS, OR 97338-1408
(503) 831-6006
(503) 831-6008

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
17050
NV
183500000X
Pharmacist
17476
NJ
183500000X
Pharmacist
44705
CA
183500000X
Pharmacist
6080043-1701
UT
183500000X
Pharmacist
PH00067430
WA
183500000X
Pharmacist
Primary
RPH-0010856
OR
183500000X
Pharmacist
S015790
AZ

Other

Enumeration date
01/18/2013
Last updated
01/19/2013
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