Individual
MR. MARK LEE SHUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
Mailing address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7418
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0007418
OR
Other
Enumeration date
06/20/2013
Last updated
04/25/2017
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