Wilson Drug INC
Durable Medical Equipment & Medical Supplies in Tillamook, OR. Organization (NPI-2).
NPI number1881892453
StatusActive
Last updated in NPPESFeb 4, 2008
Details
- NPI
- 1881892453
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilson Drug INC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2007
- Last updated
- Feb 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 561 | OR | Yes |
Other names
- Tillamook Pharmacy (Doing Business As)
Practice location
915 Main AveTillamook, OR 97141-3815
Phone 503-842-4181 · Fax 503-842-1147
Mailing address
915 Main AveTillamook, OR 97141-3815
Phone 503-842-4181 · Fax 503-842-1147
Authorized official
David G Wilson
Owner
5038424181
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