| NPI | 1497014757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009841) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2025-05-16 |