Individual
MICHAEL KASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 BLACK OAK DR, MEDFORD, OR 97504-8550
(541) 789-6907
Mailing address
701 BLACK OAK DR, MEDFORD, OR 97504-8550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012400
OR
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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