| NPI | 1770995722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE NAKAMURA Credentialing 425-277-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.60457958) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: WA PHAR.CF.60457958) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |