| NPI | 1356750343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES SPINAR Pharmacist 503-866-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 0014152) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |