DR. Benjamin Eugene Jaques, PHARM.D, RPH

NPI #1356627301 in Tigard, Oregon

Provider Information

NPI Number
1356627301
Entity Type
Individual
Name
DR. Benjamin Eugene Jaques, PHARM.D, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARM.D, RPH
Enumeration Date
Oct 21, 2011
Last Updated
Oct 21, 2011

Practice Location

Address
18040 SW LOWER BOONES FERRY RD STE 104
City
Tigard
State
Oregon
ZIP Code
97224-7259
Phone
(503) 216-0626

Specialties & Taxonomy Codes

Specialty
Pharmacist

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