| NPI | 1801982798 |
|---|---|
| Doing Business As | DBA:NORTHWEST MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID A WILCOX President/Owner 559-271-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY40808) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY40808) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-02-07 |