| NPI | 1689343113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ALFERD HENNUM Chief Executive Officer 541-768-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-10-29 |