Individual
NICOLE KEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1800 CENTENNIAL BLVD, SPRINGFIELD, OR 97477
(541) 747-4300
Mailing address
1600 VALLEY RIVER DR STE 210, EUGENE, OR 97401-2155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00117124
OR
183500000X
Pharmacist
03237138
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
00117124
OR
Other
Enumeration date
02/14/2018
Last updated
04/02/2019
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