| NPI | 1336292283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DOUGLAS CRAMER CEO 360-377-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: WA 026202CF00001658) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA 026202CF00001658) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA 026202CF00001658) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-09-11 |