| NPI | 1932105350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIL B FRICK Owner/Pharmacist 360-683-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 8043) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: WA 4908236) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2025-09-11 |