LUNDGREN INC.
Pharmacy at 4 Ave, Portland, OR

License number
Oregon 444
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. GARY DWANE LUNDGREN R.PH.
Title: PHARMACY OWNER
Phone: (503) 226-2222
Address
Address
538 SW 4Th Ave, Portland, OR 97204
National Provider ID: 1366436057
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LUNDGREN INC. at bizstanding.com

LUNDGREN, INC

538 SW 4 Ave, Portland, OR 97204

Registration:
Jun 4, 1994
State ID:
40393183
Business type:
DOMESTIC BUSINESS CORPORATION
Agent:
James Jdamis,620 SW 5 Ave STE 1010, Portland, OR 97204 (Physical)

Pharmacy licenses in Oregon