Individual
TERRY A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 N MAIN ST, PHOENIX, OR 97535-9607
(541) 535-1561
Mailing address
959 LA LOMA DR, MEDFORD, OR 97504-8608
(541) 441-8091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0012469
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0012469
OR
Other
Enumeration date
11/17/2010
Last updated
04/19/2023
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