| NPI | 1023188109 |
|---|---|
| Other Name | OPTUM - MARYSVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KARI STANISLAW Senior Director, Pharmacy 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00056585) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-04-08 |