Individual
KIM ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30 E OAK ST, LEBANON, OR 97355-3222
(541) 451-8020
Mailing address
6127 SW PLYMOUTH DR, CORVALLIS, OR 97333-9309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012329
OR
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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