| NPI | 1811630841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KAY FROMMELT Pharmacist In Charge & Owner 541-413-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |