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Deloy Lamar Dennis, pharmacist

Pharmacist in Sutherlin, OR. Individual provider (NPI-1).

NPI number1124669239
StatusActive
Last updated in NPPESOct 1, 2019

Details

NPI
1124669239
Entity type
Individual (NPI-1)
Name
Deloy Lamar Dennis
Credential
pharmacist
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2019
Last updated
Oct 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist007066ORYes

Practice location

113 E Central Ave
Sutherlin, OR 97479-9556

Phone 541-915-7323

Mailing address

113 E Central Ave
Sutherlin, OR 97479-9556

Phone 541-459-2712

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