| NPI | 1063756393 |
|---|---|
| Doing Business As | SOUTH SALEM APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | DIANA COURTNEY Owner 503-967-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002754CS) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-03-19 |