Individual
SUSAN I MAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 7TH AVE SW, ALBANY, OR 97321-1922
(541) 812-5071
Mailing address
1010 7TH AVE SW, ALBANY, OR 97321-1922
(541) 812-5071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010545
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010545
OR
Other
Enumeration date
10/27/2010
Last updated
02/17/2016
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