| NPI | 1033769880 |
|---|---|
| Doing Business As | MEDICAL CENTER PHARMACY AT FATHER JOES VILLAGES |
| Entity Type | Organization |
| Authorized Contact | KEVIN FARIS CEO 360-220-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |