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Organization
PHILIP KASER FAMILY, LLC
Active
Organization
PHILIP KASER FAMILY, LLC
Active
Other names
Harvard Avenue Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE E HOOTEN RPH (PIC, MANAGER)
(541) 672-1961
Entity
Organization
Contact information
Practice address
1175 W. HARVARD AVENUE, ROSEBURG, OR 97471
(541) 672-1961
(541) 672-9314
Mailing address
1175 W HARVARD AVE, ROSEBURG, OR 97471-2834
(541) 672-1961
(541) 672-9314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000491-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083105
—
OR
Enumeration date
06/08/2017
Last updated
07/21/2022
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