Individual
PETER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4460
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0014120
OR
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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