| NPI | 1053725382 |
|---|---|
| Doing Business As | DENSOWS LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN REYNOLDS Owner 509-943-1165 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WA PHAR.CF.60464141) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA PHAR.CF.60464141) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: WA PHAR.CF.60464141) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: WA PHAR.CF.60464141) | |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2014-06-14 |