NPI | 1750081030 |
---|---|
Doing Business As | MADISON PARK PHARMACY AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY S HARRELL President 206-347-4644 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2023-03-06 |
Last Update Date | 2024-08-06 |