NPI | 1831110808 |
---|---|
Doing Business As | TERRACE VILLAGE PHARMACY |
Entity Type | Organization |
Authorized Contact | RYAN DAVIS Gm 509-469-3198 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA CF00058481) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-22 |
Last Update Date | 2013-09-17 |