| NPI | 1275744294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M CASWELL Outpatient Pharmacy Manager 360-514-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00005072) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |