| NPI | 1396499026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SHANE HARRELL Vice President 425-486-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-08-10 |