Jefferies, Brent A
Jefferies, Brent A is an individual health care provider with primary practice located at 103 Robbins St , Molalla OR 97038-8141. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jefferies, Brent A can be contacted via phone (503) 829-9111.Contact Information
Primary practice address
103 Robbins St
Molalla OR 97038-8141
Phone: (503) 829-9111
Fax: (360) 213-2238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH-0011139 | Oregon |
Profile Details
| NPI number | 1326380601 |
|---|---|
| LBN Legal business name | Jefferies, Brent A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2013 |
| Last updated | Mar 25th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326380601 | NPPES |
| Oregon | Other | RPH-0011139 | PHARMACIST LICENSE |
| Oregon | Other | RPH-0011139-P | PHARMACIST LICENSE |
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