| NPI | 1376736454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS Agmm 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113001) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2025-05-27 |