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1316390008
TIMOTHY L LICHLYTER
MEDFORD, OR
NPI
1316390008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR RPH-0006953)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- TIMOTHY L LICHLYTER RPh
2924 SISKIYOU BLVD STE 102
MEDFORD, OR 97504-8194
Phone number: 541-773-5356
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Mailing Address
-- TIMOTHY L LICHLYTER RPh
4800 CRATER LAKE AVE
MEDFORD, OR 97504-9753
Phone number: 541-690-1130
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