| 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 |