NPI | 1609944404 |
---|---|
Doing Business As | EMERALD VALLEY COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | ELIZABETH WILLIAMS Pharmacist Owner 541-998-5496 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP0002145CS) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-22 |