| NPI | 1639445521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ALTAMIRANO Pharmacy Manager 541-383-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH0006465) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-08-22 |