Most Relevant Information
Provider Data
| NPI Number: | 1003555632 |
| Provider Name: | SAVANNAH CORRELL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | PI-0013302 |
Most Important Dates
| Enumeration Date: | 06/01/2022 |
| Last Updated: | 06/01/2022 |
Provider Practice Location
1151 N ADAIR ST
CORNELIUS
OR
971138900
Practice Location Phone/Fax
| Phone: | 5033595564 |
| Fax: | 5033574371 |
Provider Mailing Location
PO BOX 6149
ALOHA
OR
970070149
Provider Mailing Phone/Fax
| Phone: | 5033528657 |
| Fax: | 5033528658 |