| NPI | 1487448700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SEIRER System VP Financial Integrity 360-729-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |