| NPI | 1437224730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ISHIZUKA CFO 360-814-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA H-207) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: WA H-2017) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-12-08 |