| NPI | 1164551164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BATTESE Area Business Office COO Rdinator 503-326-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |