| NPI | 1528073319 |
|---|---|
| Doing Business As | NORTHEAST HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELE KODER Pharmacy Director 503-988-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP-0000961-CS) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-11-08 |