| NPI | 1154302925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SEIRER Sys VP Fin Integrit/Controller 360-729-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-08-01 |