Individual
NIKOLAS D O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2192
(541) 772-2330
(541) 772-4852
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH0019930
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0019930
OR
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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