| NPI | 1528545969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MORISKY Owner 503-542-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |