| NPI | 1396107504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LEIGH THOMPSON Pharmacist 541-863-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 0014829) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2016-03-26 |