| NPI | 1396087631 |
|---|---|
| Doing Business As | SOUTHEAST HEALTH CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELE KODER Pharmacy Director 503-988-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OR RP-0002772-CS) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-11-08 |