Organization
PRAIRIE DRUG AND HARDWARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MURRAY R.PH. (PRESIDENT)
(541) 820-3739
Entity
Organization
Contact information
Practice address
124 FRONT STR., PRAIRIE CITY, OR 97869-0217
(541) 820-3739
Mailing address
PO BOX 217, PRAIRIE CITY, OR 97869-0217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5644
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
429-CS
OREGON STATE LISCENSE NUM
OR
Enumeration date
03/05/2007
Last updated
03/07/2023
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