| NPI | 1841704459 |
|---|---|
| Doing Business As | SKY LAKES DOWNTOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD RICO CFO 541-274-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0003343-CS) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-07-19 |