| NPI | 1023488251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D. BATSON Owner 425-780-6638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60555957) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-10-30 |