| NPI | 1932288438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FARIS CEO 360-685-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA CF00057668) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-08-01 |