| NPI | 1518376755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA SRIKANTH Pharmacist 971-703-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RPH-0014097) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |