NPI | 1720131345 |
---|---|
Doing Business As | GEARY STREET CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID G. TRIEBES CEO 541-812-4102 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 001557) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-01-18 |
Last Update Date | 2018-11-21 |