NPI | 1114051968 |
---|---|
Other Name | EASTSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | KATHY BEERY Director 206-630-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WA HF00001821) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA HF00001821) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2021-06-17 |