Organization
PARKO INC
Active
Other names
Mac Prescription Shop at PMC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WINNEN R.PH. (OWNER/PIC)
(503) 472-2146
Entity
Organization
Contact information
Practice address
2435 NE CUMULUS AVE STE C, MCMINNVILLE, OR 97128-8805
(503) 472-2148
(971) 261-2263
Mailing address
2435 NE CUMULUS AVE STE C, MCMINNVILLE, OR 97128-8805
(503) 472-2148
(971) 261-2263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
RP0002745
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137484
PK
—
Enumeration date
09/14/2012
Last updated
02/21/2017
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