| NPI | 1508927831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS HERNANDEZ CEO 509-422-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA CF00057266) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA CF00057266) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-01-19 |