# GUARDIAN PHARMACY OF OREGON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MHP MEDFORD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043184070
- **Authorized official:** RANDALL KLEMM (PRESIDENT)
- **Authorized official phone:** (541) 744-1641

## Contact information

- **Practice address:** 3120 STATE ST, MEDFORD, OR 97504-8450
- **Practice address phone:** (866) 367-8701
- **Practice address fax:** (866) 367-8702
- **Mailing address:** 3120 STATE ST, MEDFORD, OR 97504-8450
- **Mailing address phone:** (866) 367-8701
- **Mailing address fax:** (866) 367-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/02/2025