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Organization
KRASAR INC
Active
Organization
KRASAR INC
Active
Other names
MILL CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL MICKEY RPH (OWNER)
(503) 897-2331
Entity
Organization
Contact information
Practice address
218 SW BROADWAY ST, MILL CITY, OR 97360-2411
(503) 897-2331
(503) 897-2332
Mailing address
PO BOX 49, MILL CITY, OR 97360
(503) 897-2331
(503) 897-2332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109546
—
OR
01
—
2077896
PK
—
Enumeration date
02/21/2007
Last updated
09/19/2025
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