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NPI Code Detail

MEDICARE: LORETTA INEZ MORALES RPH

MEDICARE: LORETTA INEZ MORALES RPH
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
1183500000XPharmacist7111OR

General Provider Information

NPI Number : 1497744221
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORETTA INEZ MORALES RPH
Provider Business Mailing Address
First Line : 855 S LARCH ST
Second Line :
City : CANBY
State : OR
Zip : 97013-7722
Country : US
Telephone Number : 503-651-1886
Fax Number :
Provider Business Practice Location Address
First Line : 1500 DIVISION ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1527
Country : US
Telephone Number : 503-657-6718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/08/2007

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Directions to “ LORETTA INEZ MORALES RPH” Practice Location

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