Organization
TIFFANY-DAVIS DRUG CO.
Active
Other names
Tiffany's Gold Cross Drug #90
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE B. ENGEL R.PH. (PRESIDENT)
(541) 342-2148
Entity
Organization
Contact information
Practice address
960 OAK ST, EUGENE, OR 97401-3106
(541) 686-8304
(541) 686-8522
Mailing address
960 OAK ST, EUGENE, OR 97401-3106
(541) 342-2148
(541) 686-8305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NPA0006963
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198721
—
OR
01
—
3801669
NABP
—
Enumeration date
09/16/2006
Last updated
08/22/2020
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