Organization
KASPRZYK ENTERPRISES, INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA KASPRZYK RHH (PHARMACIST)
(503) 623-5998
Entity
Organization
Contact information
Practice address
289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
(503) 623-5998
(503) 623-1173
Mailing address
289 E ELLENDALE AVE, SUITE 402, DALLAS, OR 97338-1580
(503) 623-5998
(503) 623-1173
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0001132-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020565
—
OR
01
—
3810416
NCPDP
OR
Enumeration date
06/19/2006
Last updated
03/07/2023
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