ALEXIS PROTEAU
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1609308071- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR, 974716523
- Phone
- (541) 440-1000
- Fax
- (541) 440-1000
Specialties & Taxonomies
Pharmacy Technician
License: OR #T-0021549
Pharmacist
Primary License: OR #RPH-0019132