| NPI | 1528071206 |
|---|---|
| Doing Business As | PHS LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CATHLEEN SULLIVAN Exec Dir Admin 541-889-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OR 00736) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-12-18 |