NPI | 1518142074 |
---|---|
Doing Business As | PROVIDENCE MEDFORD MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2008-01-03 |
Last Update Date | 2022-05-31 |