Organization
MIKES MERCANTILE CO
Active
Other names
Mikes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ALLEN KNIGHT RPH (PRESIDENT)
(541) 336-2261
Entity
Organization
Contact information
Practice address
722 W HIGHWAY 20, TOLEDO, OR 97391-1128
(541) 336-2261
Mailing address
722 W HIGHWAY 20, TOLEDO, OR 97391-1128
(541) 336-2261
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0002912-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-0002912-CS
OREGON STATE BOARD OF PHARMACY
OR
Enumeration date
04/04/2014
Last updated
03/07/2023
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