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1710251210
KYLE R ELWOOD
SALEM, OR
NPI
1710251210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0006316)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
Mr. KYLE R ELWOOD RPh
2855 BROADWAY ST NE
SALEM, OR 97303-6502
Phone number: 503-585-7222
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Mailing Address
Mr. KYLE R ELWOOD RPh
1584 SCOTCH AVE SE
SALEM, OR 97306-1408
Phone number: 503-588-3107
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