| NPI | 1841646296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY A. WAIS Owner 425-392-5321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60060007) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |