DR. Carrie Widman, PHARMD

NPI #1275816126 in Lake Oswego, Oregon

Provider Information

NPI Number: 1275816126
Entity Type: Individual
Name: DR. Carrie Widman, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 27, 2011
Last Updated: Feb 9, 2022

Practice Location

Address: 4025 MERCANTILE DR STE 110
City: Lake Oswego
State: Oregon
ZIP Code: 97035-2518
Phone: (035) 387-8167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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