NPI | 1639180201 |
---|---|
Doing Business As | TRINITY VALLEY PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | CLARISSA ELAINE FREE Owner 541-474-9437 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OR 001859) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2021-01-26 |