| NPI | 1083795421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN REYNOLDS Owner 509-339-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA 60212940) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-08-07 |