Individual
ROBERT GEORGE PERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
1883 1/2 FRUITDALE DR, GRANTS PASS, OR 97527-4744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P10012302
OR
183500000X
Pharmacist
Primary
RPH-0017828
OR
Other
Enumeration date
06/28/2017
Last updated
05/19/2020
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