NPI | 1245391317 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNIE SIMMONS Owner And Pres 360-299-8560 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00057142) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |