Individual
JAKE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 CENTER DR, MEDFORD, OR 97501-7939
(541) 857-4683
Mailing address
1301 CENTER DR, MEDFORD, OR 97501-7939
(541) 857-4683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019680
OR
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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