Santon Mmbali Shagavah, RPh
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Corvallis, OR. Individual provider (NPI-1).
NPI number1164064036
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1164064036
- Entity type
- Individual (NPI-1)
- Name
- Santon Mmbali Shagavah
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2019
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 0017415 | OR | Yes |
Practice location
3600 Nw Samaritan DrCorvallis, OR 97330-3737
Phone 541-768-5185
Mailing address
3600 Nw Samaritan DrCorvallis, OR 97330-3737
Phone 541-768-5185
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