Healthcare Provider Details

I. General information

NPI: 1558342147
Provider Name (Legal Business Name): DEBORAH LEE SANCHEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E BARNETT RD
MEDFORD OR
97504-8332
US

IV. Provider business mailing address

3084 KINGSGATE CIR
MEDFORD OR
97504-4977
US

V. Phone/Fax

Practice location:
  • Phone: 541-789-4251
  • Fax:
Mailing address:
  • Phone: 541-779-3156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0010146
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number0010146
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: