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Phillip Kotlyarevskiy, Pharm D

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tigard, OR. Individual provider (NPI-1).

NPI number1346830643
StatusActive
Last updated in NPPESJan 20, 2021

Details

NPI
1346830643
Entity type
Individual (NPI-1)
Name
Phillip Kotlyarevskiy
Credential
Pharm D
Sex
Male
Sole proprietor
No
Enumeration date
Jan 20, 2021
Certification date
Jan 20, 2021
Last updated
Jan 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0018247ORYes
183500000X Pharmacist0018247OR

Practice location

7320 Sw Hunziker Rd Ste 300
Tigard, OR 97223-2302

Phone 503-941-3033

Mailing address

7320 Sw Hunziker Rd Ste 300
Tigard, OR 97223-2302

Phone 503-941-3077

Other practice locations

7320 Sw Hunziker Rd Ste 300
Tigard, OR 97223-2302

Phone 503-941-3077

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Other Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Tigard, OR

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