| NPI | 1730564386 |
|---|---|
| Doing Business As | WATERFALL COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREA TRENNER CEO 541-756-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OR 7062) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2017-07-11 |