| NPI | 1073673208 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP, PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES HILGER Chief Accounting Officer 253-973-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20947) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-05-10 |