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NPI 1699426684 · live from the CMS NPI Registry

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Pharmacy, Specialty Pharmacy in Medford, OR. National Provider Identifier 1699426684, active.

NPI record

NPI1699426684 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Specialty Pharmacy 3336S0011X
Practice location3011 East Barnett Rd, Pharmacy Suite, Medford, OR 97504
Practice phone541-789-5547
Mailing address2650 Siskiyou Blvd Ste 102, Medford, OR 97504
EnumeratedJanuary 12, 2022
Last updatedJanuary 12, 2022
Authorized officialToni Bartling, Payer Contracting Program Manager
Other namesHeimann Cancer Center

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy3336C0003X—
Pharmacy, Specialty Pharmacy primary3336S0011X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.