Whalio Doctors

NPI 1003103631

Mark K Williams, RPH

Practitioner Pharmacist Medford, OR

Practice location

Address
2000 Crater Lake Hwy T-00613, Medford, OR 97504-4161
Phone
(541) 779-5110
Fax
(541) 779-5110

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 0011862 (OR)

Registry record

NPI
1003103631
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2011
Record last updated
4 Jul 2011

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.