| NPI | 1750399739 |
|---|---|
| Doing Business As | MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN FARIS CEO 360-220-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55905) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-07-19 |