ANDY WALTER KOSTECHKA

PORTLAND, OR
NPI1770994964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  6326)
Enumeration Date2014-05-11
Last Update Date2014-05-11
Business Address
Mr. ANDY WALTER KOSTECHKA R.Ph.
16100 SW 72ND AVE
PORTLAND, OR 97224-7745
Phone number: 503-626-9436
Mailing Address
Mr. ANDY WALTER KOSTECHKA R.Ph.
16100 SW 72ND AVE
PORTLAND, OR 97224-7745
Phone number: 503-626-9436
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