| NPI | 1750462636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KNIRCK Owner 509-943-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00003055) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-02-08 |