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 |