| NPI | 1497124135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND GOWDA Pharmacy District Manager 425-247-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RPH0014876) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |