Individual
JARED STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5541
Mailing address
2237 ALOHA AVE, MEDFORD, OR 97504-6937
(530) 591-3057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014192
OR
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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