JOHN NIVISON

PRINEVILLE, OR
NPI1316355357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  5790)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- JOHN NIVISON pharmacist
2091 NE 3RD ST
PRINEVILLE, OR 97754-8130
Phone number: 541-447-0395
Mailing Address
-- JOHN NIVISON pharmacist
20452 PINE VISTA DR
BEND, OR 97702-9437
Phone number: 541-420-5329