# KRASAR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MILL CITY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053456392
- **Authorized official:** RANDALL MICKEY RPH (OWNER)
- **Authorized official phone:** (503) 897-2331

## Contact information

- **Practice address:** 218 SW BROADWAY ST, MILL CITY, OR 97360-2411
- **Practice address phone:** (503) 897-2331
- **Practice address fax:** (503) 897-2332
- **Mailing address:** PO BOX 49, MILL CITY, OR 97360
- **Mailing address phone:** (503) 897-2331
- **Mailing address fax:** (503) 897-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0000297 | OR | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109546 | — | OR |
| 01 | — | 2077896 | PK | — |