Organization
SYNERGY MEDICAL SYSTEMS LLC
Active
Other names
SYNERGY RX
Organization subpart
No
Provider details
NPI number
Authorized official
LACY MIRON PHARMD (PIC,AO)
(541) 342-4928
Entity
Organization
Contact information
Practice address
55 COBURG RD STE 105, EUGENE, OR 97401-2433
(541) 342-4928
(541) 342-4930
Mailing address
1710 WILLOW CREEK CIR, SUITE 1, EUGENE, OR 97402-9192
(541) 343-3758
(541) 852-4120
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0002412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079562
PK
—
05
—
274629
—
OR
Enumeration date
08/08/2007
Last updated
03/07/2017
Update your record
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