Adam Leo Keith Youngblood, PHARMD

NPI #1871934299 in Portland, Oregon

Provider Information

NPI Number: 1871934299
Entity Type: Individual
Name: Adam Leo Keith Youngblood, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 14, 2013
Last Updated: Jul 14, 2013

Practice Location

Address: 3800 SE 22ND AVE
Address 2: MAIL STOP: 04002/31D
City: Portland
State: Oregon
ZIP Code: 97202-2918
Phone: (503) 797-3845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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