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Individual

MR. RANDALL KLEMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1750 WILLOW CREEK CIR, EUGENE, OR 97402-9152
(541) 744-1641
Mailing address
PO BOX 2767, EUGENE, OR 97402-0308
(541) 744-1641
(541) 744-1052

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007506
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0007506
OREGON STATE BOARD OF PHARMACY
OR
Enumeration date
03/26/2010
Last updated
07/26/2013
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