Individual
MS. LAURA L VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
616 MARKET ST, MEDFORD, OR 97504-6126
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9220
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9220
STATE PHARMACIST LICENSE
OR
Enumeration date
10/01/2012
Last updated
11/04/2025
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