| NPI | 1487156121 |
|---|---|
| Doing Business As | CLE ELUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA KELLY Owner/Partner 509-322-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.6082533) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-08-12 |