| NPI | 1548525819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH PHUONG NGUYEN Pharmacy Technician 206-878-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA VA00070014) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |