| NPI | 1700087921 |
|---|---|
| Doing Business As | PROFESSIONAL COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMMI MOLVI Business Owner 541-766-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0001497-CS) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |