| NPI | 1700594686 |
|---|---|
| Doing Business As | LONE PINE DRUG |
| Entity Type | Organization |
| Authorized Contact | BRETT SUMMERS Owner/Pharmacist In Charge 503-957-2260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |