| NPI | 1619090487 |
|---|---|
| Doing Business As | THE PHARMACY AT TRIOS SOUTHRIDGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PORTER Phcy Manager 509-221-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF000056883) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-09-14 |