MARYLOU WACEK

PORTLAND, OR
NPI1336408616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  4981)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  4981)
Enumeration Date2012-05-08
Last Update Date2015-12-31
Business Address
Ms. MARYLOU WACEK
4849 NE 138TH AVE
PORTLAND, OR 97230-3401
Phone number: 503-257-3935
Mailing Address
Ms. MARYLOU WACEK
4849 NE 138TH AVE
PORTLAND, OR 97230-3401
Phone number: 503-257-3935