| NPI | 1013990795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ROPERT Pharmacy Manager/ Pharmasist 425-303-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA VA00045095) |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2008-06-25 |