Andy Walter Kostechka R.PH.

NPI 1770994964 - Pharmacist - 183500000X

NPI Details
NPI 1770994964
Gender Male
Enumeration Date 05/11/2014
Last Updated 05/11/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
16100 SW 72ND AVE
PORTLAND OR, 97224-7745, US
Phone (503) 626-9436
Fax (503) 372-1792
Business Location
16100 SW 72ND AVE
PORTLAND OR, 97224-7745, US
Phone (503) 626-9436
Fax (503) 372-1792
Toxanomy
Taxonomy Code 183500000X
License State Oregon
License Number 6326
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According to our database, Mr. Andy Walter Kostechka R.PH. NPI is 1770994964, taxonomy code is 183500000X and license number is 6326, license state is located at Oregon. Andy Walter Kostechka R.PH. physically located at 16100 Sw 72nd Ave, Portland OR, 97224-7745. NPI Number Andy Walter Kostechka R.PH. has the Individual type.

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1770994964 NPI number is provided on an as is basis without warranty of any kind. 1770994964 is maintained by the National Plan & Provider Enumeration System. The contents of Andy Walter Kostechka R.PH. are for informational purposes only.