NPI 1033442512

Benjamin Egendoerfer, PHARMD

Practitioner Pharmacist Medford, OR

Practice location

Address: 210 E Barnett Rd, Medford, OR 97501-7928
Phone: (541) 858-3336

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0011349 (OR)

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Registry record

NPI: 1033442512
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2009
Record last updated: 4 Mar 2013

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.