| NPI | 1720493968 |
|---|---|
| Doing Business As | MEDICATION MANAGEMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | STEVE LOGAN Director, Pharmacy 503-261-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR 2131) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA 00058657) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-06-01 |