| NPI | 1629348636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |