| NPI | 1841295540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HENRY Pharmacy Manager 206-323-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA CF00057419) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA CF00057419) |
| 183500000X Pharmacist (Licence: WA CF00057419) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |