| NPI | 1952302382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MATTHEW SYRING Owner 360-675-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CF60341892) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 261Q00000X Clinic/Center | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: WA PHAR.CF.60341892) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WA PHAR.CF.60341892) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: WA PHAR.CF.60341892) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-03-07 |