| NPI | 1043664436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY JEI-HO CHANG Owner 425-286-7018 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60454183) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |