| NPI | 1639521149 |
|---|---|
| Doing Business As | PROFESSIONAL CENTER 205 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN HODGE Owner 503-255-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP,0000689) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-08-17 |