| NPI | 1831447705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELISE GUNN Pharmacist 425-869-7474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA ph00010787) |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2012-08-26 |