Organization
WELLNESS COMPOUNDING PHARMACY
Active
Other names
WELLNESS COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MEEKER PHARMD (PRESIDENT)
(541) 301-1465
Entity
Organization
Contact information
Practice address
522 CRATER LAKE AVE, MEDFORD, OR 97504-6810
(541) 774-3939
(541) 774-3933
Mailing address
522 CRATER LAKE AVENUE, MEDFORD, OR 97504
(541) 774-3939
(541) 774-3933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
RP002452C0S
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079579
PK
—
05
—
500738873
—
OR
Enumeration date
03/07/2008
Last updated
09/19/2025
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