| NPI | 1821271271 |
|---|---|
| Doing Business As | PROVIDENCE HEALTH PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2025-05-14 |