| NPI | 1851167027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JOHNSON President 971-290-2015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |