Individual
MR. ROBERT WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3169 CRATER LAKE HWY, MEDFORD, OR 97504-9179
(541) 774-4346
Mailing address
3169 CRATER LAKE HWY, MEDFORD, OR 97504-9179
(541) 774-4346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010693
OR
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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