# EPPIK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIKES LONG TERM PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316966484
- **Authorized official:** MIKE DOUGLAS RPH (OWNER)
- **Authorized official phone:** (503) 538-5715

## Contact information

- **Practice address:** 201 VILLA RD STE A, NEWBERG, OR 97132-1828
- **Practice address phone:** (503) 538-5715
- **Practice address fax:** (503) 537-1068
- **Mailing address:** 201 VILLA RD STE A, NEWBERG, OR 97132-1828
- **Mailing address phone:** (503) 538-5715
- **Mailing address fax:** (503) 537-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | IP0002152CS | OR | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 04/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2079449 | PK | — |