MS. Marylou Wacek
MS. Marylou Wacek is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4849 NE 138th AvePortland, OR 97230-3401
Phone: (503) 257-3935
Fax: (503) 253-3747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) | Taxonomy 1835P0018X · Licence 4981 (OR) |
|---|---|
| Pharmacist | Taxonomy 183500000X · Licence 4981 (OR) |
Record details
| NPI number | 1336408616 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 8, 2012 |
| Last updated in NPPES | December 31, 2015 |
| Mailing address | 4849 Ne 138th Ave, Portland, OR 97230-3401 |
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