NPI | 1598701617 |
---|---|
Doing Business As | MARY BRIDGE RETAIL CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | TERESA DIANE HARBERG Director, Ambulatory Pharmacy 253-426-6209 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.60306875) |
Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2021-09-29 |