| NPI | 1518409788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WHITE Owner 503-582-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP0003230CS) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2017-03-10 |