NPI | 1467878389 |
---|---|
Doing Business As | WELL LIFE LIBERTY LAKE PHARMACY |
Entity Type | Organization |
Authorized Contact | JEFFREY FOSTER Member/Manager 509-755-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WA PHAR.CF.00059100) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2014-03-17 |