| NPI | 1043437890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE LEE Phcy Mngr 425-688-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00056713) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-09-13 |