| NPI | 1902933443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DEVANEY CEO 541-553-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |