| NPI | 1952358780 |
|---|---|
| Doing Business As | SOUTH SALEM APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | DIANA COURTNEY Owner 503-967-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OR RP0002199CS) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-12-18 |