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NPI Code Detail

MEDICARE: MRS. SU YAN HAR PHARM D

MEDICARE: MRS. SU YAN HAR PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9020OR

General Provider Information

NPI Number : 1134412067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SU YAN HAR PHARM D
Provider Business Mailing Address
First Line : 175 MOUNTAIN DR
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-9641
Country : US
Telephone Number : 541-817-4630
Fax Number :
Provider Business Practice Location Address
First Line : 1430 NW GARDEN VALLEY BLVD
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1766
Country : US
Telephone Number : 541-673-1650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 05/25/2011

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Directions to “ MRS. SU YAN HAR PHARM D” Practice Location

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