Organization
WEST MAIN PHARMACY
Active
Other names
west main drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RAY CLARK RPH (PRESIDENT)
(541) 944-1671
Entity
Organization
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
Mailing address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
291CS
OR
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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