| NPI | 1659387942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WILKINSON COO 425-203-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHARCF00058552) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-03-27 |