Individual
HAAMID SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 N MAIN ST, PHOENIX, OR 97535-9607
(541) 535-1561
Mailing address
406 W MAIN ST APT 211, MEDFORD, OR 97501-2739
(972) 750-9654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19966
OR
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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