Individual
MATTHEW STAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2280 ASHLAND ST, ASHLAND, OR 97520-1406
(541) 482-8191
Mailing address
2280 ASHLAND ST, ASHLAND, OR 97520-1406
(540) 482-8191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016420
OR
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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