NPI | 1629170451 |
---|---|
Doing Business As | DAVE'S PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | JOHN BRADLEY SOWLES Owner/Pharmacist 503-266-2081 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0000597-CS) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2020-08-22 |