Provider Demographics
NPI:1295989887
Name:HOOD, GARY J (PHARMD MBA)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:J
Last Name:HOOD
Suffix:
Gender:M
Credentials:PHARMD MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:REEDSPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97467-1792
Mailing Address - Country:US
Mailing Address - Phone:541-271-6370
Mailing Address - Fax:541-271-6369
Practice Address - Street 1:600 RANCH RD
Practice Address - Street 2:
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1792
Practice Address - Country:US
Practice Address - Phone:541-271-6370
Practice Address - Fax:541-271-6369
Is Sole Proprietor?:No
Enumeration Date:2008-11-09
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00022127183500000X
ORORRPH00096651835P0018X, 183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1835P0018XOtherOREGON BOARD OF PHARMACY