| NPI | 1134512874 |
|---|---|
| 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 | 2025-03-12 |