| NPI | 1811212798 |
|---|---|
| Other Name | FORMERLY LUKE-DORF PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN GRIMM PIC 503-597-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2023-07-17 |