| NPI | 1194516419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ANN ELLIOTT Program Mgr, Rx Regulatory 206-630-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |