| NPI | 1619205804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRU LOUIS RODRIGUEZ President 509-327-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA PO00000486) |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2009-11-26 |