Individual
MR. JERRY E MCCAMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 WHARF ST, BROOKINGS, OR 97415-9653
(541) 813-1913
(866) 215-5251
Mailing address
248 WHARF ST, BROOKINGS, OR 97415-9653
(541) 813-1913
(866) 215-5251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006130
OR
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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