| NPI | 1316306319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA M. SPIELMANN-SCHULTZ Owner 360-436-6303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60418970) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |