| NPI | 1386018836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE HENRY Pharmacist 206-354-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA PH60557623) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |