Individual
DR. DAMION TYLER MEANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1003 MEDFORD SHOPPING CENTER, SAFEWAY 0525, MEDFORD, OR 97504
(541) 608-3686
Mailing address
1003 MEDFORD SHOPPING CENTER, SAFEWAY 0525, MEDFORD, OR 97504
(541) 608-3686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011785
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ORRPH-0011785-P
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ORRPH-0011785-P
OREGON PHARMACIST LICENSE
OR
Enumeration date
06/30/2011
Last updated
03/04/2016
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