| NPI | 1699818757 |
|---|---|
| Doing Business As | FOUNTAIN DRUG |
| Entity Type | Organization |
| Authorized Contact | KAREN COUDRIET Pharmacist And Technician 360-733-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00002219) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-20 |