| NPI | 1689112930 |
|---|---|
| Doing Business As | COVENANT HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-10-01 |