Individual
MAE OSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 CENTER DR, MEDFORD, OR 97501-7941
(541) 772-2469
Mailing address
1800 POPLAR DR APT 6, MEDFORD, OR 97504-4670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014775
OR
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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