Individual
MR. JERRY ROBERT SMEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 677-4334
(541) 677-2121
Mailing address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 672-8533
(541) 492-5200
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
PH00016183
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH-0013059
OR
Other
Enumeration date
06/17/2006
Last updated
04/02/2026
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