NPI 1093087082

Florence Anne Waldal, RPH

Practitioner Pharmacist Tigard, OR

Practice location

Address: 12959 SW Morningstar Dr, Tigard, OR 97223-1770
Phone: (503) 590-2336

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5540 (OR)

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Registry record

NPI: 1093087082
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2012
Record last updated: 6 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.