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NPI Code Detail

MEDICARE: GUARDIAN PHARMACY OF OREGON, LLC

MEDICARE: GUARDIAN PHARMACY OF OREGON, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0004XCompounding Pharmacy
33336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1407720428
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN PHARMACY OF OREGON, LLC
Provider Business Mailing Address
First Line : 1750 WILLOW CREEK CIR
Second Line :
City : EUGENE
State : OR
Zip : 97402-9152
Country : US
Telephone Number : 541-744-1641
Fax Number : 541-744-1052
Provider Business Practice Location Address
First Line : 1750 WILLOW CREEK CIR
Second Line :
City : EUGENE
State : OR
Zip : 97402-9152
Country : US
Telephone Number : 541-744-1641
Fax Number : 541-744-1052
Authorized Official
Title or Position : PRESIDENT
Name : RANDALL KLEMM
Credential :
Telephone Number : 541-744-1641
Provider Enumeration Date : 10/02/2025
Last Update Date : 10/02/2025

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Directions to “GUARDIAN PHARMACY OF OREGON, LLC ” Practice Location

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