Individual
DR. NATALIA EMA PUCCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
PHA.00221354
CO
1835P2201X
Ambulatory Care Pharmacist
RP449627
PA
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0015993
OR
Other
Enumeration date
01/31/2017
Last updated
09/01/2020
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