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NPI 1063682805

OrganizationActive

Wellness Compounding Pharmacy

NPI 1063682805 · Compounding Pharmacy · Medford, OR

Provider details

NPI number: 1063682805
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Authorized official: Angie Meeker, President

Practice location

522 Crater Lake Ave

Medford, OR 97504-6810

Phone: (541) 774-3939

Fax: (541) 774-3933

More OR providers

Mailing address

522 Crater Lake Avenue

Medford, OR 97504

Registry dates

Enumerated: 2008-03-07
Last updated: 2025-09-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Wellness Compounding Pharmacy — NPI 1063682805, Medford, OR | NPI Central