NPI | 1831587856 |
---|---|
Doing Business As | NARA NW-WELLNESS CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | SARAH AYERS Credentialing Specialist 503-367-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2014-12-29 |
Last Update Date | 2024-04-12 |