Organization
SHERWILL, INC
Active
Other names
WILLAMINA DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL A KOTAICH RPH (PHARMACIST/OWNER)
(503) 876-8652
Entity
Organization
Contact information
Practice address
212 N.E. MAIN ST, WILLAMINA, OR 97396-0037
(503) 876-8652
(503) 876-2373
Mailing address
PO BOX 37, WILLAMINA, OR 97396-0037
(503) 876-8652
(503) 876-2373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139709
—
OR
05
—
169708
—
OR
01
—
3805996
NABP#
OR
Enumeration date
07/03/2006
Last updated
01/05/2010
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