WANIDA SURICHAMORN

TIGARD, OR
NPI1265704050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  9494)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  9494)
Enumeration Date2012-02-08
Last Update Date2016-01-05
Business Address
WANIDA SURICHAMORN RPH
7850 SW DARTMOUTH ST
TIGARD, OR 97223-8401
Phone number: 503-639-0722
Mailing Address
WANIDA SURICHAMORN RPH
7850 SW DARTMOUTH ST
TIGARD, OR 97223-8401
Phone number: 503-639-0722