| NPI | 1154418036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODELL OFFORD President 541-688-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OR IP0001952CS) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |