| NPI | 1740305879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG TOMAN Managing Memeber 425-289-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: WA CF60212041) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-03-30 |