Jake Brown
Pharmacist in Medford, OR. Individual provider (NPI-1).
NPI number1124800537
StatusActive
Last updated in NPPESOct 19, 2023
Details
- NPI
- 1124800537
- Entity type
- Individual (NPI-1)
- Name
- Jake Brown
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2023
- Certification date
- Oct 19, 2023
- Last updated
- Oct 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0019680 | OR | Yes |
Practice location
1301 Center DrMedford, OR 97501-7939
Phone 541-857-4683
Mailing address
1301 Center DrMedford, OR 97501-7939
Phone 541-857-4683
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