Individual
JODI LORRAINE EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
944 SW VETERANS WAY, REDMOND, OR 97756-2538
(541) 504-5133
Mailing address
60484 SNAP SHOT LOOP, BEND, OR 97702-2539
(717) 515-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13548
OR
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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