| NPI | 1356701346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FLYNN Owner 206-330-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT00001400) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-09 |