| NPI | 1700819323 |
|---|---|
| Doing Business As | FOREST GROVE PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | RODNEY LOUIS GOFF President 503-357-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0000209CS) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-07-21 |