NPI | 1881892453 |
---|---|
Doing Business As | TILLAMOOK PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID G WILSON Owner 503-842-4181 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 561) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2008-02-04 |