| NPI | 1891390266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK K O'DONNELL Owner/Pharmacist In Charge 360-280-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |