| NPI | 1114230331 |
|---|---|
| Doing Business As | OLD TOWN CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW MENDENHALL President & CEO 503-294-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR RP0002607-CS) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-03-06 |