| NPI | 1588774103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS3211) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-05-22 |