| NPI | 1548247133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATAUN ARELENA SMITH Pharmacy Technician 206-284-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA VA00056476) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2008-06-12 |