| NPI | 1588433031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYOUNG JUN Owner 541-915-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-07-24 |