| NPI | 1780769398 |
|---|---|
| Doing Business As | ELLINGSON'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK VICTOR ELLINGSON Owner 503-257-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR rp-0000952-cs) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |