| NPI | 1619055852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D LAFFERTY Owner/Manager 206-783-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA CF00000461) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy (Licence: WA CF00000461) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |