| NPI | 1255645271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE KODER Director Of Pharmacy 503-988-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RP-0002610-CS) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-02-03 |