Individual
ROBERTA LEE HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
(541) 734-2127
Mailing address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
(541) 734-2127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7255
OR
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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