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NPI Code Detail

MEDICARE: JUNE KEAY PHARM. D.

MEDICARE: JUNE KEAY 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
1183500000XPharmacistRPH-0014370OR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0014370OR

General Provider Information

NPI Number : 1962804583
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE KEAY PHARM. D.
Provider Business Mailing Address
First Line : 6 W Q ST
Second Line :
City : SPRINGFIELD
State : OR
Zip : 97477-2142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6 W Q ST
Second Line :
City : SPRINGFIELD
State : OR
Zip : 97477-2142
Country : US
Telephone Number : 541-736-3857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2014
Last Update Date : 04/03/2017

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