NPI 1063682805

Wellness Compounding Pharmacy

Organisation Compounding Pharmacy Medford, OR

Practice location

Address: 522 Crater Lake Ave, Medford, OR 97504-6810
Phone: (541) 774-3939
Fax: (541) 774-3933
Mailing address: 522 Crater Lake Avenue, Medford, OR 97504

Authorised official

Name: Angie Meeker
Title: President
Phone: (541) 301-1465

Registered specialties (3)

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence RP002452C0S (OR)

Other Pharmacy providers in Oregon →

Pharmacy

Suppliers Taxonomy 333600000X

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1063682805
Entity type: Organization
NPI issued: 7 Mar 2008
Record last updated: 19 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.