| NPI | 1700880291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RICCERI Supervisor 206-341-0550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: WA CF00003715) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2022-08-15 |