| NPI | 1679619415 |
|---|---|
| Doing Business As | MOSES LAKE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JANET KAY NEEDHAM Owner 509-764-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WA CF00056175) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |