| NPI | 1477953222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A. BLASI Owner 206-618-6549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60242287) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2015-10-05 |