| NPI | 1063458313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R WATSON Manager 541-789-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR 01330) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-02-24 |