| NPI | 1659360006 |
|---|---|
| Doing Business As | MAC PRESCRIPTION SHOP |
| Entity Type | Organization |
| Authorized Contact | NICOLE PATRICE WINNEN President, Parko, Inc. 503-472-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 295) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-03-03 |