NPI | 1730830365 |
---|---|
Doing Business As | MOSAIC PHARMACY-MADRAS |
Entity Type | Organization |
Authorized Contact | BOBBI JOLYNE SURPLUS Revenue Cycle Manager 541-408-9486 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-01-14 |