THE TA

PORTLAND, OR
NPI1487947792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  10498)
Enumeration Date2011-05-18
Last Update Date2011-05-18
Business Address
-- THE TA
2440 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-5920
Phone number: 503-234-9408
Mailing Address
-- THE TA
2440 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-5920
Phone number: 503-234-9408
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