| NPI | 1508251398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FURBUSH Chief Operations Officer 253-202-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |