| NPI | 1851750822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG E. CHANG Owner 425-326-1668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60468293) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |