| NPI | 1144900705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HENDRICK Business Services Director 509-228-1020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |