Most Relevant Information
Provider Data
| NPI Number: | 1003688920 |
| Provider Name: | ALEX VICENTE MORA RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0019735 |
Most Important Dates
| Enumeration Date: | 10/24/2023 |
| Last Updated: | 10/24/2023 |
Provider Practice Location
8330 N IVANHOE ST
PORTLAND
OR
972034824
Practice Location Phone/Fax
| Phone: | 5032051600 |
| Fax: |
Provider Mailing Location
8330 N IVANHOE ST
PORTLAND
OR
972034824
Provider Mailing Phone/Fax
| Phone: | 5032051600 |
| Fax: |