Wellness Compounding Pharmacy

Compounding Pharmacy · Medford, OR

Organization Active NPI

NPI number 1063682805

Practice location

522 Crater Lake Ave
Medford, OR 97504-6810
Phone
(541) 774-3939
Fax
(541) 774-3933

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NPI record

NPI
1063682805
Entity type
Organization (Type 2)
Enumeration date
March 7, 2008
Last updated
September 19, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Compounding Pharmacy Primary 3336C0004X RP002452C0S OR
Pharmacy 333600000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

522 Crater Lake Avenue
Medford, OR 97504
Phone
(541) 774-3939
Fax
(541) 774-3933

Authorized official

Name
Angie Meeker, PHARMD
Title
President
Phone
(541) 301-1465

Other names

  • Wellness Compounding Pharmacy

About Wellness Compounding Pharmacy

Wellness Compounding Pharmacy is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 522 Crater Lake Ave, Medford, OR 97504-6810. The NPI number 1063682805 was assigned on March 7, 2008 and the record was last updated on September 19, 2025.

Wellness Compounding Pharmacy lists a license in the registry: #RP002452C0S (OR) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Angie Meeker, PHARMD, President.

Frequently asked questions

What is the NPI number of Wellness Compounding Pharmacy?

The NPI number is 1063682805.

What is the phone number of Wellness Compounding Pharmacy?

The phone number listed for the practice location is (541) 774-3939.

Where is Wellness Compounding Pharmacy located?

522 Crater Lake Ave, Medford, OR 97504-6810.

What is the taxonomy code for Wellness Compounding Pharmacy?

The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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