| NPI | 1942674676 |
|---|---|
| Former Legal Business Name | WEST MAIN DRUG |
| Entity Type | Organization |
| Authorized Contact | DENNIS RAY CLARK President 541-944-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR 291cs) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |