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NPI Code Detail

MEDICARE: DR. JAMES BURNELL KRICK PHARM.D.

MEDICARE: DR. JAMES BURNELL KRICK PHARM.D.
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
1183500000XPharmacist8161OR
2183500000XPharmacist43544CA

General Provider Information

NPI Number : 1952382681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BURNELL KRICK PHARM.D.
Provider Business Mailing Address
First Line : 4691 EAGLE TRACE DR
Second Line :
City : MEDFORD
State : OR
Zip : 97504-9232
Country : US
Telephone Number : 541-779-9479
Fax Number :
Provider Business Practice Location Address
First Line : 280 MAPLE ST
Second Line :
City : ASHLAND
State : OR
Zip : 97520-1552
Country : US
Telephone Number : 541-201-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 08/26/2019

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