Individual
DALE ROSS WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1360 PLAZA BLVD, CENTRAL POINT, OR 97502-2669
(541) 665-3766
(541) 665-3770
Mailing address
1750 DELTA WATERS RD STE 102, MEDFORD, OR 97504-9181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019313
OR
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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