| NPI | 1750498044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK JAMES NELSON President 509-455-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: ID 217CP) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-01-04 |