Individual
MARYANN CHESHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
990 BIDDLE RD, MEDFORD, OR 97504-6118
(541) 772-3461
Mailing address
990 BIDDLE RD, MEDFORD, OR 97504-6118
(541) 772-3461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0008504
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH0008504
STATE PHARMACIST LICENSE
OR
Enumeration date
01/05/2013
Last updated
01/05/2013
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