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Individual

ALEXANDER THOMAS ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
Mailing address
3659 MADRONA LN, MEDFORD, OR 97501-2042

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016102
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0016102
OR

Other

Enumeration date
10/04/2017
Last updated
10/04/2017
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