| NPI | 1386195048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON JOLLY Pharmacist 425-251-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.00058343) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-09-14 |