YANTIS ENTERPRISES INC
29670 Ellensburg Ave
Gold Beach, OR 97444
541-247-4544
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | OR | RP0000218 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2123262 | OTHER | |
500615354 | OR | MEDICAID |