| NPI | 1154433167 |
|---|---|
| Doing Business As | EVERETTS VILLA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID JORGENSEN Owner 541-343-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 00182) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 00182) | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |