Gustafson, Eric

Gustafson, Eric is an individual health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gustafson, Eric can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0010539 Oregon

Profile Details

NPI number 1013056803
LBN Legal business name Gustafson, Eric
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers