Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN GRAHAM PHARMD (PHARMACIST)
(352) 256-3039
Entity
Organization
Contact information
Practice address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
Mailing address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012506
OR
Other
Enumeration date
01/16/2011
Last updated
01/16/2011
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