| NPI | 1861857161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAELON SPRADLEY Chief Executive Officer 360-330-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA PHARCF60615205) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-01-29 |