| NPI | 1710746458 |
|---|---|
| Doing Business As | PROPAC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL RICKER Managing Member 503-887-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2026-08-20 |