Provider Demographics
NPI:1104078047
Name:MUNAR, MYRNA Y (PHARMD)
Entity type:Individual
Prefix:PROF
First Name:MYRNA
Middle Name:Y
Last Name:MUNAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 SW BOND AVENUE, CH12C
Mailing Address - Street 2:OSU / OHSU COLLEGE OF PHARMACY
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4501
Mailing Address - Country:US
Mailing Address - Phone:503-494-5164
Mailing Address - Fax:503-494-8797
Practice Address - Street 1:3303 SW BOND AVENUE, CH12C
Practice Address - Street 2:OSU / OHSU COLLEGE OF PHARMACY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-494-5164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-00074961835P1200X
CA395971835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy