| NPI | 1518589936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ANN ELLIOTT Program Mgr, Rx Regulatory 206-630-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261Q00000X Clinic/Center | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-01-29 |