| NPI | 1336365857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WINDSOR Director Of Ancillary Services 360-253-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA CF00057554) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |