| NPI | 1821271271 |
|---|---|
| Doing Business As | PROVIDENCE HEALTH PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TODD HOFHEINS Vice President/CFO 425-525-3939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2013-01-11 |