Provider Demographics
NPI:1891121596
Name:LAPHAM, BRITTANY BROOKS (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BROOKS
Last Name:LAPHAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 JACKSON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97530-9792
Mailing Address - Country:US
Mailing Address - Phone:719-651-4473
Mailing Address - Fax:
Practice Address - Street 1:2000 CRATER LAKE HWY
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-4161
Practice Address - Country:US
Practice Address - Phone:541-779-5110
Practice Address - Fax:541-227-5429
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2015-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013819183500000X
OR00138191835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist