| NPI | 1518013887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. JOHN MEDINA Pharmacy Director 206-543-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA FO 00000359) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-18 |