NPI 1104061019

David Phillip Redden, RPH

Practitioner Pharmacist Lebanon, OR

Practice location

Address: 3300 Burdell Blvd, Lebanon, OR 97355-0018
Phone: (541) 451-3502
Fax: (541) 451-3508

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH0006462 (OR)

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Registry record

NPI: 1104061019
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2008
Record last updated: 5 Dec 2008

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.