| NPI | 1710015912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ODONNELL Owner 253-473-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WA CF00058298) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-10-28 |