# KASPRZYK ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457396731
- **Authorized official:** MRS. SANDRA KASPRZYK RHH (PHARMACIST)
- **Authorized official phone:** (503) 623-5998

## Contact information

- **Practice address:** 289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
- **Practice address phone:** (503) 623-5998
- **Practice address fax:** (503) 623-1173
- **Mailing address:** 289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
- **Mailing address phone:** (503) 623-5998
- **Mailing address fax:** (503) 623-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0001132-CS | OR | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020565 | — | OR |
| 01 | — | 3810416 | NCPDP | OR |