| NPI | 1669896270 |
|---|---|
| Doing Business As | PROVIDENCE SEASIDE HOSPITAL RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Director Reimb Regulatory Strategy 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0001048-CS) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-03-01 |