NPI | 1699950105 |
---|---|
Doing Business As | VAN CLEVE OPTICAL |
Entity Type | Organization |
Authorized Contact | CHARLIE VAN CLEVE Vice President 360-679-2551 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA 601-291-906) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-07-23 |