| NPI | 1831158229 |
|---|---|
| Doing Business As | HOLLADAY DRUG #1139 |
| Entity Type | Organization |
| Authorized Contact | WINFIELD F MUFFETT Owner 360-693-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR IP0002147CS) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 4754300001) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-11-20 |