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 |