| NPI | 1629102637 |
|---|---|
| Other Name | LIDGERWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHY BEERY Director 206-630-1818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00004922) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA CF00004922) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-06-22 |