NPI | 1255477865 |
---|---|
Doing Business As | TILLAMOOK PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID WILSON Owner 503-842-4181 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0000561) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-01-30 |
Last Update Date | 2016-09-28 |