Individual provider · Type 1 NPI

Mary Lisa Refailov

Pharmacist · Gold Beach, OR

NPI number 1164162178 Active

Practice location

29670 Ellensburg Ave
Gold Beach, OR 97444-8701

Fax (541) 247-2604

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH-0017368 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164162178

Mary Lisa Refailov's National Provider Identifier is 1164162178, issued on Mar 29, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gold Beach, OR. The record was last updated on Apr 5, 2022.