| NPI | 1235162579 |
|---|---|
| Doing Business As | TOP 49 |
| Entity Type | Organization |
| Authorized Contact | ANDREW J CHARTER Vice President Phamacy 360-650-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA 4862) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-04-01 |