SHINTA IMANSJAH, PHARM D, RPH
Pharmacy at Burnside St, Portland, OR

License number
Oregon PS 40904
Category
Pharmacy
Type
Pharmacist
License number
Oregon RPH-0015242
Category
Pharmacy
Type
Pharmacist
License number
Oregon RP00007233
Category
Pharmacy
Type
Pharmacist
Address
Address
12360 E Burnside St, Portland, OR 97233
Phone
(971) 279-4800
(971) 279-2763 (Fax)
(971) 386-2278
(503) 224-4494 (Fax)
National Provider ID: 1457314353
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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