| NPI | 1659621845 |
|---|---|
| Doing Business As | MAC PRESCRIPTION SHOP AT PMC |
| Entity Type | Organization |
| Authorized Contact | NICOLE WINNEN Owner/PIC 503-472-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR RP0002745) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2017-02-21 |