Individual
ASHLEY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
51600 HUNTINGTON RD STE A, LA PINE, OR 97739-8887
(541) 536-1111
(541) 536-1980
Mailing address
PO BOX 159, LA PINE, OR 97739-0159
(541) 536-1111
(541) 536-1980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018702
OR
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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