Organization
EPPIK INC
Active
Other names
MIKES LONG TERM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DOUGLAS RPH (OWNER)
(503) 538-5715
Entity
Organization
Contact information
Practice address
201 VILLA RD STE A, NEWBERG, OR 97132-1828
(503) 538-5715
(503) 537-1068
Mailing address
201 VILLA RD STE A, NEWBERG, OR 97132-1828
(503) 538-5715
(503) 537-1068
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
IP0002152CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079449
PK
—
Enumeration date
07/19/2006
Last updated
04/01/2013
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