Individual
MR. RONALD TOMAS WAVRIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2825 E BARNETT RD, RVMC PHARMACY DEPT., MEDFORD, OR 97504-8332
(541) 789-4251
(541) 789-5918
Mailing address
217 WINDSOR AVE, MEDFORD, OR 97504-7648
(541) 776-3459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6932
OR
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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