Organization
WINDING WATERS MEDICAL CLINIC
Active
Parent organization
WINDING WATERS MEDICAL CLINIC
Other names
Enterprise Pharmacy of Winding Waters
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDING WATERS MEDICAL CLINIC
Authorized official
KELI JEAN DENNIS (COO)
(541) 426-4502
Entity
Organization
Contact information
Practice address
501 W NORTH ST, ENTERPRISE, OR 97828-1044
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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