| NPI | 1710359344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN TRAN Pharmacy Supervisor 253-403-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: WA 60521169) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |