| NPI | 1497170849 |
|---|---|
| Doing Business As | MERIDIAN PARK MEDICAL CENTER COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SIEG Phcy Srvcs Mgr 503-692-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0000864) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2015-03-09 |