| NPI | 1528507464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PETERSEN Interim CEO 509-962-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60588203) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-06-01 |