Whalio Doctors

NPI 1417197567

Saint-Mark Enterprises 106 LLC

Organisation Community/Retail Pharmacy Shelton, WA

Practice location

Address
207 Professional Way, Shelton, WA 98584-4404
Phone
(360) 426-4272
Fax
(360) 426-6977
Mailing address
PO Box 98, Eureka, MO 63025-0098

Authorised official

Name
Mark a Miller
Title
Owner
Phone
(314) 518-2427

Registered specialties

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1417197567
Entity type
Organization
NPI issued
3 Mar 2009
Record last updated
30 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.