Organization
HOLLYWOOD PHARMACY INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KASPRZYK RPH (OWNER)
(503) 364-4436
Entity
Organization
Contact information
Practice address
1890 CAPITOL ST NE, SALEM, OR 97301-7859
(503) 364-4436
Mailing address
1890 CAPITOL ST NE, SALEM, OR 97301-7859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292935
—
OR
Enumeration date
12/10/2008
Last updated
12/10/2008
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