Individual
MISS HOLLY ANN PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
5975 SW 185TH AVE, ALOHA, OR 97007-4553
(503) 649-6562
Mailing address
5975 SW 185TH AVE, ALOHA, OR 97007
(503) 649-6562
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT0005891
OR
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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