| NPI | 1821635186 |
|---|---|
| Doing Business As | FERNDALE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NORMAN TANG Pharmacy Manager 360-325-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2022-06-17 |