Most Relevant Information
Provider Data
| NPI Number: | 1003361072 |
| Provider Name: | PAM K COCKRELL RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 76760 |
Most Important Dates
| Enumeration Date: | 08/19/2016 |
| Last Updated: | 10/06/2016 |
Provider Practice Location
19185 SW 90TH AVE
TUALATIN
OR
970627558
Practice Location Phone/Fax
| Phone: | 8662808818 |
| Fax: |
Provider Mailing Location
19185 SW 90TH AVE
TUALATIN
OR
970627558
Provider Mailing Phone/Fax
| Phone: | 8662808818 |
| Fax: |