| NPI | 1447460514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNYE FINNEMAN Assistant Director Of Pharmacy 360-514-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |