Organization
DOWNTOWN PHARMACY INC
Active
Other names
CHRISTIAN'S DOWNTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC WINE RPH (OWNER)
(541) 776-0606
Entity
Organization
Contact information
Practice address
333 N RIVERSIDE AVE, MEDFORD, OR 97501-5937
(541) 776-0606
(541) 776-0404
Mailing address
333 N RIVERSIDE AVE, MEDFORD, OR 97501-5937
(541) 776-0606
(541) 776-0404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0001965CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079204
PK
—
05
—
278267
—
OR
Enumeration date
06/09/2006
Last updated
03/11/2015
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