| NPI | 1063897239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LE KAY TRANG Pharmacist Graduate Intern 503-286-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |