NPI | 1972607927 |
---|---|
Doing Business As | BALLARD PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | DEBRA SMITH President 206-782-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00058268) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-12 |
Last Update Date | 2010-12-10 |