Individual
ALLYSON J CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
981 MEDFORD CTR, MEDFORD, OR 97504-6700
(541) 779-7455
Mailing address
1309 MAPLE LEAF CT APT 3C, MEDFORD, OR 97504-7608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017551
OR
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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