NPI | 1740763663 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIUS MCMILLION Officer 206-427-4393 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 171W00000X Contractor |
111N00000X Chiropractor | |
175F00000X Naturopath | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208600000X Surgery | |
261Q00000X Clinic/Center | |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
3336C0004X Pharmacy, Compounding Pharmacy | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-09-07 |