| NPI | 1750392254 |
|---|---|
| Doing Business As | MARTIN'S SOUTHGATE DRUG |
| Entity Type | Organization |
| Authorized Contact | JEFF HARRELL Owner 360-642-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA 60264564) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-07-19 |