Wellness Compounding Pharmacy

NPI 1063682805 - Pharmacy - 3336C0002X

NPI Details
NPI 1063682805
Enumeration Date 03/07/2008
Last Updated 06/01/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANGIE ANGIE
Position PRESIDENT
Phone (541) 774-3939
Fax (541) 774-3933
Practice Location
522 CRATER LAKE AVE
MEDFORD OR, 97504-6810, US
Phone (541) 774-3939
Fax (541) 774-3933
Business Location
522 CRATER LAKE AVE
MEDFORD OR, 97504-6810, US
Phone (541) 774-3939
Fax (541) 774-3933
Toxanomy
Taxonomy Code 3336C0002X
License State
License Number
Remove 1063682805 NPI Number
 

According to our database, Wellness Compounding Pharmacy NPI is 1063682805, taxonomy code is 3336C0002X Wellness Compounding Pharmacy physically located at 522 Crater Lake Ave, Medford OR, 97504-6810. NPI Number 1033115704 has the healthcare provider type.

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1063682805 NPI number is provided on an as is basis without warranty of any kind. 1063682805 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Compounding Pharmacy are for informational purposes only.