| NPI | 1184001935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MARIE KROETCH CEO 509-343-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA PHAR.CF.60558051) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PHAR.CF.60558051) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA PHAR.CF.60558051) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60558051) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA PHAR.CF.60558051) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-04-28 |