| NPI | 1972736932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED E. LYMAN Exec. Director, Pharmacy Operations 503-261-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OR RP-2556-CS) |
| Additional Taxonomies | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-06-01 |