| NPI | 1225464118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ISSE Owner/Pharmacist 503-908-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OR RP-0002831) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2020-03-13 |