Joey Goren Degrood R.PH.

NPI 1023350881 - Pharmacist - 1835P0018X

NPI Details
NPI 1023350881
Gender Male
Enumeration Date 03/20/2013
Last Updated 03/20/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
9044 SW RYSTADT LN
PORTLAND OR, 97225-2851, US
Phone (503) 298-0936
Fax
Business Location
9044 SW RYSTADT LN
PORTLAND OR, 97225-2851, US
Phone (503) 298-0936
Fax
Toxanomy
Taxonomy Code 1835P0018X
License State Oregon
License Number 0008913
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According to our database, Mr. Joey Goren Degrood R.PH. NPI is 1023350881, taxonomy code is 1835P0018X and license number is 0008913, license state is located at Oregon. Joey Goren Degrood R.PH. physically located at 9044 Sw Rystadt Ln, Portland OR, 97225-2851. NPI Number Joey Goren Degrood R.PH. has the Individual type.

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1023350881 NPI number is provided on an as is basis without warranty of any kind. 1023350881 is maintained by the National Plan & Provider Enumeration System. The contents of Joey Goren Degrood R.PH. are for informational purposes only.