Organization
KASPRZYK ENTERPRISES INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KASPRZYK RPH (OWNER)
(503) 623-5998
Entity
Organization
Contact information
Practice address
289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
(503) 623-5998
Mailing address
289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
(503) 623-5998
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092639
—
OR
Enumeration date
12/11/2008
Last updated
12/11/2008
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