| NPI | 1831425164 |
|---|---|
| Doing Business As | SISKIYOU COMMUNITY HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD BOOTH CEO 541-471-3455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR RP0002572CS) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2021-10-06 |