| NPI | 1174704514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DIANE HARBERG Director, Ambulatory Pharmacy 253-426-6209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.00059273) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-09-29 |