| NPI | 1982339453 |
|---|---|
| Doing Business As | SKY LAKES WASHBURN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD E RICO CFO 541-274-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |