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Organization
WINDING WATERS MEDICAL CLINIC
Active
Organization
WINDING WATERS MEDICAL CLINIC
Active
Parent organization
WINDING WATERS MEDICAL CLINIC
Other names
Wallowa Pharmacy of Winding Waters
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDING WATERS MEDICAL CLINIC
Authorized official
KELI JEAN DENNIS (AUTHORIZED OFFICIAL)
(541) 426-4502
Entity
Organization
Contact information
Practice address
605 W HWY 82, WALLOWA, OR 97885-7114
(541) 426-4502
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/11/2023
Last updated
09/13/2023
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