| NPI | 1184135808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HORMUTH President 425-837-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |