| NPI | 1083759856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK NELSON President 509-343-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA CF57842) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-01-26 |