| NPI | 1588675623 |
|---|---|
| Doing Business As | PENINSULA COMMUNITY HEALTH SERVICES PT ORCHARD |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KREIDLER-MOSS CEO 360-478-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHARCF00058729) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-09-16 |