| NPI | 1598052516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LAIN Owner 206-686-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: WA FC2556465) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-12-19 |