| NPI | 1912366006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON F BOWMAN Prescribing Pharmacist 503-880-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 4224) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |