NPI | 1194313619 |
---|---|
Doing Business As | PRESCRYPTIVE PHARMACY |
Entity Type | Organization |
Authorized Contact | LEVI J MARTIN Pharmacy Manager 541-526-3565 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-01-10 |
Last Update Date | 2024-02-01 |