Debra Lynn Carroll RPH

NPI 1609050574 - Pharmacist - 183500000X

NPI Details
NPI 1609050574
Gender Female
Enumeration Date 12/27/2007
Last Updated 12/27/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
5717 NE 138TH AVE
PORTLAND OR, 97230-3409, US
Phone (503) 261-7900
Fax (503) 261-7978
Business Location
5717 NE 138TH AVE
PORTLAND OR, 97230-3409, US
Phone (503) 261-7900
Fax (503) 261-7978
Toxanomy
Taxonomy Code 183500000X
License State Oregon
License Number 9410
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According to our database, Debra Lynn Carroll RPH NPI is 1609050574, taxonomy code is 183500000X and license number is 9410, license state is located at Oregon. Debra Lynn Carroll RPH physically located at 5717 Ne 138th Ave, Portland OR, 97230-3409. NPI Number Debra Lynn Carroll RPH has the Individual type.

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1609050574 NPI number is provided on an as is basis without warranty of any kind. 1609050574 is maintained by the National Plan & Provider Enumeration System. The contents of Debra Lynn Carroll RPH are for informational purposes only.