| NPI | 1265077283 |
|---|---|
| Former Legal Business Name | MEDICAL CENTER PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | KEVIN FARIS CEO 360-685-4282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |