Organization · Type 2 NPI

Maple Street Clinic Pharmacy LLC

Clinic Pharmacy · Forest Grove, OR

NPI number 1912064478 Active

About NPI 1912064478

Maple Street Clinic Pharmacy LLC's National Provider Identifier is 1912064478, issued on Jan 3, 2007. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Forest Grove, OR. The record was last updated on Jun 23, 2008.