| NPI | 1700245511 |
|---|---|
| Doing Business As | LOURDES COUNSELING CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACY CLARK PIC/Director Of Pharmacy 509-546-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: WA PHAR.CF.6048122) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-07-20 |