NPI | 1033274469 |
---|---|
Doing Business As | MARYSVILLE PHARMACY |
Entity Type | Organization |
Authorized Contact | CORY DUSKIN Gen Mgr 360-435-5771 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF60221948) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-26 |
Last Update Date | 2012-01-12 |