| NPI | 1245610005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CROOK VP Of Pharmacy 541-868-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002710) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-01-20 |