NPI | 1144767427 |
---|---|
Doing Business As | PRESTIGE PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | CLOSE PHARMACY Owner/AO 503-542-0733 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0003251) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2017-01-25 |
Last Update Date | 2019-02-27 |