Individual
VESTALEE SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1188 VAN BUREN ST, EUGENE, OR 97402-4734
(541) 729-9798
Mailing address
1188 VAN BUREN ST, EUGENE, OR 97402-4734
(541) 729-9798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009777
OR
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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