| NPI | 1669596508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BLEAKMAN Owner 503-636-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 1270) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |