Individual
SHANNON O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
236 KYLEE ST, ROSEBURG, OR 97471-5014
(602) 791-8855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017550
OR
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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