| NPI | 1780945642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS SCOTT PHILLIPS Pharmacist Ii 206-744-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA ph00039261) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2014-09-09 |