NPI | 1164573762 |
---|---|
Doing Business As | OWL TRI-STATE PHARMACY |
Entity Type | Organization |
Authorized Contact | BRIAN MORGAN AUER Secretary 509-758-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.00001133) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2017-09-11 |