Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lisa Refailov

Individual provider Pharmacist · NPI 1164162178

Mary Lisa Refailov is a Pharmacist in Gold Beach, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

29670 Ellensburg Ave
Gold Beach, OR 97444-8701
Phone: (541) 247-4544
Fax: (541) 247-2604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0017368 (OR)

Record details

NPI number1164162178
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address29670 Ellensburg Ave, Gold Beach, OR 97444-8701

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