| NPI | 1972698454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRAEFF Pharmacist/Owner 360-694-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA CF00001931) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00001931) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA CF00001931) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |