Individual
NANCY LUANN YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
625 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2400
(503) 623-5799
Mailing address
625 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2400
(503) 623-5799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-00007652
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0007652
OR
Other
Enumeration date
02/14/2012
Last updated
02/02/2021
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