| NPI | 1164010229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK JAMES NELSON Owner 509-868-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-04-01 |