| NPI | 1629444104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A. SCHIKOWITZ Owner 425-957-0761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60383001) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-10-05 |