| NPI | 1659425767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L OWINGS Pres Vice Pres 503-692-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR 00913) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |