| NPI | 1679665483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN KREIDLER-MOSS CEO 360-478-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00058729) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-06-07 |