| NPI | 1316966484 |
|---|---|
| Doing Business As | MIKES LONG TERM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE DOUGLAS Owner 503-538-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OR IP0002152CS) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-04-01 |