Individual
MS. THERESE MARGUERITE WAVRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 222-1460
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 222-1460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7200
OR
Other
Enumeration date
09/30/2019
Last updated
11/27/2023
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