| NPI | 1760005219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER ADAMS Director Of Pharmacy 360-772-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |