| 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 |