| NPI | 1144827809 |
|---|---|
| Doing Business As | GRANTS PASS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SHANE HARRELL Managing Member 541-476-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-12-16 |