| NPI | 1023347960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM G BURKES Owner/Pharmacist 253-752-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA 60126769) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 60126769) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |