| NPI | 1609375898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LAI President 206-979-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: WA PHAR.CF.60812480) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.60812480) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-03-30 |