Individual
LISA BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2900 E BARNETT RD, MEDFORD, OR 97504-8380
(541) 789-5850
Mailing address
4454 DARK HOLLOW RD, MEDFORD, OR 97501-9697
(541) 779-2092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8060
OR
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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