| NPI | 1023660099 |
|---|---|
| Other Name | LA CLINICA COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACI FOSSEN Chief Quality Officer 541-512-3912 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-02-12 |