| NPI | 1124039623 |
|---|---|
| Doing Business As | SIXTH AVENUE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ERIK NELSON PIC 509-455-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA PHAR.CF.60411553) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-06-21 |