| NPI | 1154904092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN ROBERTSON CEO 253-403-1272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-06-12 |