| NPI | 1407201569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN KNUTSON Owner 425-789-1779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT00001592) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |