| NPI | 1265088462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R SCRIVENS Director Of Operations 425-330-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |