| NPI | 1710359344 | 
|---|---|
| Doing Business As | MARY BRIDGE AMBULATORY CLINIC PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | HIEN TRAN Pharmacy Supervisor 253-403-3687  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: WA 60521169)  | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2015-10-22 | 
| Last Update Date | 2015-10-22 |