| NPI | 1740026889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L CESENA CFO 360-445-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-05-07 |