Provider First Line Business Practice Location Address:
1601 SW JEFFERSON STREET
Provider Second Line Business Practice Location Address:
OREGON STATE UNIVERSITY - COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
CORVALLIS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97331-3507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-737-5785
Provider Business Practice Location Address Fax Number:
541-737-3999
Provider Enumeration Date:
10/18/2010