| NPI | 1649385675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MARTYN President 253-639-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07131) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |