| NPI | 1821385667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE GANA Clinical Pharmacist Consultant 425-908-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA PH00045962) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA 602856613) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |