| NPI | 1437287240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LEE NEAL Pharmacist 509-966-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA CF00002785) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |