| NPI | 1912311986 |
|---|---|
| Doing Business As | SKY LAKES OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD RICO CFO 541-274-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002929) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-06-22 |