| NPI | 1669559530 |
|---|---|
| Doing Business As | SIDS PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARCY LINDERMAN Office Manager 509-332-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA CF00001254) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-05-05 |