| NPI | 1699170027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JEAN WILLIAMS Pharmacy Technician 253-761-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA 10061064) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |