| NPI | 1598725319 |
|---|---|
| Doing Business As | KING ROAD HI-SCHOOL PHARMCAY #1175 |
| Entity Type | Organization |
| Authorized Contact | RICK HARTMANN Owner 503-659-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP0000290CS) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR RP0000290CS) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |