| NPI | 1346300159 |
|---|---|
| Doing Business As | BOARDMAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND D. MICHAEL Corporation President 541-481-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 4971) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |