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NPI Code Detail

MEDICARE: BRIELLE LOUISE MEEDS PHARMD

MEDICARE:   BRIELLE LOUISE MEEDS  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
1183500000XPharmacistRPH-0018484OR

General Provider Information

NPI Number : 1699441444
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIELLE LOUISE MEEDS PHARMD
Provider Business Mailing Address
First Line : 602 WILDCAT CANYON RD
Second Line :
City : SUTHERLIN
State : OR
Zip : 97479-8818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 NW STEWART PKWY
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1214
Country : US
Telephone Number : 541-677-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2021
Last Update Date : 08/20/2021

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Directions to “ BRIELLE LOUISE MEEDS PHARMD” Practice Location

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