| NPI | 1023747813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KC BOLTON Chief Executive Officer 541-672-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-09 |