NPI | 1467528786 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ARDELL MOE Practice Management Administrator 206-263-8807 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA FO00001722) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2022-10-13 |