| NPI | 1588319057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SEIRER Sys VP Fin Integrit/Controller 360-729-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |