| NPI | 1093202087 |
|---|---|
| Doing Business As | SIXTH AVENUE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ERIK JAMES NELSON President 509-455-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-01-26 |