NPI 1003685819 · live from the CMS NPI Registry
Achterhof Healthcare Pharmacy, LLC
Pharmacy, Institutional Pharmacy in Medford, OR. National Provider Identifier 1003685819, active.
NPI record
| NPI | 1003685819 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Institutional Pharmacy 3336I0012X |
| Practice location | 3120 State St, Medford, OR 97504 |
| Practice phone | 866-367-8701 |
| Mailing address | Po Box 2767, Eugene, OR 97402 |
| Enumerated | December 21, 2023 |
| Last updated | December 21, 2023 |
| Authorized official | Randall Klemm, Ceo |
| Other names | Mhp Medford |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Institutional Pharmacy primary | 3336I0012X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.