| NPI | 1376277236 |
|---|---|
| Doing Business As | HAWKS PRAIRIE HEALTH MART PHARMACY |
| Doing Business As | HAWKS PRAIRIE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUNIL B THIMMEGOWDA President 360-438-3072 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-16 |