| NPI | 1225123060 |
|---|---|
| Doing Business As | FARRELL'S PORT ORCHARD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY L. JOHNSON Pharmacist/Manager 360-876-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00001894) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |