NPI | 1437157591 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY O ARMSTRONG Owner 509-838-4119 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WA 026202 CF00003983) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 026202 CF00003983) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2008-01-02 |