NPI | 1093527699 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA L CESENA CFO 360-445-8512 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |