Most Relevant Information
Provider Data
NPI Number: | 1003345521 |
Provider Name: | LEENA KAHLON |
Entity Type: | Individual |
Taxonomy Code: | 333600000X |
Specialty: | Pharmacy |
License Number: | PI-0011719 |
Most Important Dates
Enumeration Date: | 06/08/2017 |
Last Updated: | 06/08/2017 |
Provider Practice Location
12606 NE 95TH ST
VANCOUVER
WA
986822398
Practice Location Phone/Fax
Phone: | 5037013403 |
Fax: |
Provider Mailing Location
17818 NW SOLANO CT
PORTLAND
OR
972292237
Provider Mailing Phone/Fax
Phone: | |
Fax: |