| NPI | 1396141255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BOOTH CEO 541-471-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OR RP-0003008-CS) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2021-10-06 |