Individual
TY ANDREW TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 NW 9TH ST, CORVALLIS, OR 97330-1484
(541) 753-2226
Mailing address
111 NE CONIFER BLVD APT E, CORVALLIS, OR 97330-7020
(707) 972-6209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019679
OR
Other
Enumeration date
07/21/2022
Last updated
09/11/2023
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