| NPI | 1154319572 |
|---|---|
| Doing Business As | SUPER 1 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFRY PHILIPPS Pres 509-326-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF56023) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-09-13 |