Organization
SRF INC
Active
Other names
Hawthorne Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FROST BS (R.PH./PRES)
(541) 773-5345
Entity
Organization
Contact information
Practice address
600 E JACKSON ST, MEDFORD, OR 97504-6706
(541) 773-5345
(541) 779-7293
Mailing address
600 E JACKSON ST, MEDFORD, OR 97504-6706
(541) 773-5345
(541) 779-7293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000318
OR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149443
—
OR
01
—
2077344
PK
—
Enumeration date
09/12/2006
Last updated
04/17/2015
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