Wallowa Pharmacy

NPI #1730242421 in Wallowa, Oregon

Provider Information

NPI Number
1730242421
Entity Type
Organization
Organization Name
Wallowa Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 18, 2006
Last Updated
Mar 19, 2008

Practice Location

Address
207 EAST 1ST ST.
State
Oregon
ZIP Code
97885
Phone
(541) 886-2361

Authorized Official

Name
MR. JEAN WAYNE FOSTER, R.PH
Title
OWNER
Phone
(541) 886-2361

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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