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Individual

JAIME-ROSE CAYME TANGONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1350 N 1ST ST, HERMISTON, OR 97838
(541) 567-5323
Mailing address
72 NE HADLEY WAY UNIT 2, COLLEGE PLACE, WA 99324-2173
(808) 494-8711

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH-4311
HI
183500000X
Pharmacist
PH-60752150
WA
183500000X
Pharmacist
Primary
RPH-0016171
OR

Other

Enumeration date
09/08/2017
Last updated
05/03/2019
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