| NPI | 1801924006 |
|---|---|
| Doing Business As | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MENDAZONA Director 541-325-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 00430) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-12-15 |