| NPI | 1942300926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BUYOK President 509-575-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00056595) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PHAR.CF.00056595) |
| 3336C0002X Pharmacy Clinic Pharmacy (Licence: WA PHAR.CF.00056595) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: WA PHAR.CF.00056595) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-12-20 |