| NPI | 1568719359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BUYOK President 509-575-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: WA PHAR.CF.60509437) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PHAR.CF.60509437) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: WA PHAR.CF.60509437) | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-12-20 |