| NPI | 1356632384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMROTE ISHAQUE Pharmacist 360-424-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: WA ph00020743) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |