Elizabeth Kornegay, R.PH.

NPI #1396047650 in Gresham, Oregon

Provider Information

NPI Number: 1396047650
Entity Type: Individual
Name: Elizabeth Kornegay, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Nov 18, 2010
Last Updated: Nov 18, 2010

Practice Location

Address: 1455 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-4270
Phone: (503) 492-7279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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