NPI | 1114968815 |
---|---|
Former Legal Business Name | BROOKLYN PHARMACY INC |
Entity Type | Organization |
Authorized Contact | PATRICK SCOTT HUBBELL PIC/Owner 503-234-3488 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 00366) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2019-10-29 |