MEDICARE: NATALIE LYNN GILLESPIE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH0012823	OR

General Provider Information

NPI Number	:	1255765780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE LYNN GILLESPIE PHARMD

Provider Business Mailing Address
First Line	:	1580 VALLEY RIVER DR STE 200
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-2179
Country	:	US
Telephone Number	:	541-242-4016
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 VALLEY RIVER DR STE 120
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-2179
Country	:	US
Telephone Number	:	541-242-4016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2013
Last Update Date	:	09/03/2013

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