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1053628503
KENNETH ANDREW ERNST
LAKE OSWEGO, OR
NPI
1053628503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR rph0012176)
Enumeration Date
2010-09-03
Last Update Date
2010-09-03
Business Address
Mr. KENNETH ANDREW ERNST RPh
17850 LOWER BOONES FERRY RD
LAKE OSWEGO, OR 97035-5228
Phone number: 971-233-0113
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Mailing Address
Mr. KENNETH ANDREW ERNST RPh
97 KINGSGATE RD APT. E12
LAKE OSWEGO, OR 97035-2371
Phone number: 801-652-6661
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