| NPI | 1093144248 |
|---|---|
| Doing Business As | PHARMACY EXPRESS #1183 |
| Entity Type | Organization |
| Authorized Contact | GINA D GARRISON Asst Pharmacy Director 360-213-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP0002596CS) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-03-05 |