| NPI | 1255623401 |
|---|---|
| Doing Business As | LONE PINE DRUG |
| Entity Type | Organization |
| Authorized Contact | BRETT SUMMERS Owner 541-973-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002643) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-04-29 |