Mary Lisa Refailov, is a
Pharmacist based in Gold Beach, Oregon. Mary Lisa Refailov is licensed to practice in Oregon (license number RPH-0017368) and her current practice location is
29670 Ellensburg Ave, Gold Beach, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 247-4544.
NPI number for Mary Lisa Refailov is 1164162178 and her current mailing address is 29670 Ellensburg Ave, Gold Beach, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164162178.
Healthcare Provider's Profile
| Full Name | Mary Lisa Refailov |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 29670 Ellensburg Ave, Gold Beach, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164162178
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 04/05/2022
Medical Identifiers
Medical identifiers for Mary Lisa Refailov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164162178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH-0017368 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Lisa Refailov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Lisa Refailov,
29670 Ellensburg Ave,
Gold Beach, OR 97444-8701
Ph: (541) 247-4544 | Mary Lisa Refailov,
29670 Ellensburg Ave,
Gold Beach, OR 97444-8701
Ph: (541) 247-4544 |
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