| NPI | 1245300052 |
|---|---|
| Other Name | OPTUM-PHCY AT MAIN |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00056690) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-04-09 |