DR. Mariska S Widharma, PHARMD

NPI #1962951103 in Corvallis, Oregon

Provider Information

NPI Number
1962951103
Entity Type
Individual
Name
DR. Mariska S Widharma, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Sep 29, 2016
Last Updated
Sep 29, 2016

Practice Location

Address
3600 NW SAMARITAN DR
Address 2
INPATIENT PHARMACY
State
Oregon
ZIP Code
97330-3737
Phone
(541) 768-5071

Specialties & Taxonomy Codes

Specialty
Pharmacist

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