| NPI | 1174781223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MCKENNA Pharmacy Manager 425-502-3811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2021-06-17 |