Mary Lisa Refailov
NPI #1164162178 in Gold Beach, Oregon
Provider Information
- NPI Number
- 1164162178
- Entity Type
- Individual
- Name
- Mary Lisa Refailov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Mar 29, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 29670 ELLENSBURG AVE
- City
- Gold Beach
- State
- Oregon
- ZIP Code
- 97444-8701
- Phone
- (541) 247-4544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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