| NPI | 1063433035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA BUTLER Pharmacy Manager 503-467-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002265CS) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |