| NPI | 1831517200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L. DAGENAIS Owner 206-903-6111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT 00000948) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-10-05 |