NPI | 1437401148 |
---|---|
Doing Business As | LEWIS AND CLARK PHARMACY |
Entity Type | Organization |
Authorized Contact | AARON WILSON CEO 509-444-8888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2021-01-25 |