| NPI | 1306103429 |
|---|---|
| Doing Business As | GOOD SHEPHERD BOARDMAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN ADAMS Director Of Pharmacy 541-667-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0002702) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-09-30 |