Individual
SCOTT RODERICK BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., RPH
Contact information
Practice address
9159 SE 82ND AVE, HAPPY VALLEY, OR 97086-3761
(503) 771-1386
Mailing address
1025 W TRINITY MILLS RD, CARROLLTON, TX 75006-1375
(800) 273-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
41574
TN
183500000X
Pharmacist
52736
TX
183500000X
Pharmacist
PH60091125
WA
183500000X
Pharmacist
Primary
RPH-0010850
OR
Other
Enumeration date
11/14/2008
Last updated
11/18/2020
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