NPI | 1134512874 |
---|---|
Doing Business As | CHAS PERRY STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | AARON WILSON CEO 509-444-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: WA PHARCF60530096) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-03-05 |
Last Update Date | 2023-06-14 |