| NPI | 1386063261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN NIEMEYER Controller 253-218-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |