| NPI | 1679016547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONU BOHRA Pharmacist 425-877-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PH60660242) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |