| NPI | 1992863286 |
|---|---|
| Doing Business As | WALDPORT DRUG AND GIFT #1187 |
| Entity Type | Organization |
| Authorized Contact | AUSTIN BLAKESLEE Regional Pharmacy Manager 360-213-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP0001011CS) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-05-30 |