Maple Street Clinic Pharmacy LLC
NPI #1912064478 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1912064478
- Entity Type
- Organization
- Organization Name
- Maple Street Clinic Pharmacy LLC
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 1825 MAPLE ST
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1939
- Phone
- (503) 357-7552
Authorized Official
- Name
- CHRISTOPHER VORRATH, PHRM
- Title
- PRES
- Phone
- (503) 357-7552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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