| NPI | 1598454589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN KENNEY Pharmacist In Charge 425-224-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-07-19 |