Individual
JAMIE LEE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5500 S 6TH ST, KLAMATH FALLS, OR 97603-5104
(541) 882-8863
Mailing address
5500 S 6TH ST, KLAMATH FALLS, OR 97603-5104
(541) 882-8863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017990
OR
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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