| NPI | 1780738138 |
|---|---|
| Doing Business As | BLACK OAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LICHLYTER President 541-773-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0000767) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-08-26 |