| NPI | 1588054332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A CERMAK Pharmacist 425-899-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA PH0009804) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |