NPI | 1033558457 |
---|---|
Doing Business As | PROVIDENCE ST. MARY MEDICAL CENTER OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | STEVEN BURDICK CEO 509-525-3320 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA PHAR.CF.00001050) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2013-06-19 |