| NPI | 1730955303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL BINGHAM President, Pharmacist In Charge 360-708-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |