| NPI | 1831847565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DION KAPETANOV Chief Administrative Officer 425-789-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-11-16 |