| NPI | 1336236272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BUYOK President 509-575-8001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: WA PHAR.CF.00001073) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA HF00001073) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: WA PHAR.CF.00001073) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: WA PHAR.CF.00001073) | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: WA PHAR.CF.00001073) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-12-20 |