| NPI | 1851403760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EVANS Owner 425-776-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00003277) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |