| NPI | 1689873242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L FOXMAN Pharmacy Manager 503-558-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0002413-CS) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP-0002413-CS) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OR RP-0002413-CS) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |