| NPI | 1396146049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAISHALI VERMA Owner 206-972-2999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60366873) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |