| NPI | 1265824437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER C. KRAFT Owner 206-304-8756 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT 00001299) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |