NPI | 1093123184 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY WENDT Revenue Cycle Director 206-628-3826 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: ID 19941PDO) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-08-01 |