| NPI | 1427197201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SWENSON Owner 503-347-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0000132) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-07-10 |