| NPI | 1548565393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN TRAN Ambulatory Pharmacy Manager 253-403-3687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: WA 60199585) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2015-09-09 |