Individual
HARLEY GLENN MCKEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1642 WILLIAMS HWY, GRANTS PASS, OR 97527-5660
(541) 479-6698
(541) 474-5015
Mailing address
1255 PLEASANT CREEK RD, ROGUE RIVER, OR 97537-4714
(541) 582-3481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10503
OR
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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