| NPI | 1811509508 |
|---|---|
| Doing Business As | SEROVAX |
| Entity Type | Organization |
| Authorized Contact | LANCE CAMERON LEWIS President/Owner 503-970-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |