| NPI | 1104936723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CURTIS SVP Pharmacy 425-313-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301007755) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-24 |