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Organization
WEST MAIN PHARMACY
Active
Organization
WEST MAIN PHARMACY
Active
Other names
west main drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RAY CLARK RPH (PRESIDENT)
(541) 944-1671
Entity
Organization
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
Mailing address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
291CS
OR
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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