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Organization
WILLAMETTE PHARMACY
Active
Organization
WILLAMETTE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MORISKY (OWNER)
(503) 542-1170
Entity
Organization
Contact information
Practice address
10209 SE DIVISION BUILD B STE 100, PORTLAND, OR 97266
(503) 705-4105
Mailing address
10209 SE DIVISION BUILD B STE 100, PORTLAND, OR 97266
(503) 705-4105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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