| NPI | 1164437760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GRILLO Owner 509-674-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA CF00004765) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-09-11 |