| NPI | 1508962317 |
|---|---|
| Doing Business As | TIFFANY'S GOLD CROSS DRUG #90 |
| Entity Type | Organization |
| Authorized Contact | DALE B. ENGEL President 541-342-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR NPA0006963) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |