| NPI | 1114332848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A. JAMES Medical Director 425-451-0999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT00001159) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2015-10-05 |