| NPI | 1881718674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BURKES Owner 253-752-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA cf00057609) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA CF00057609) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-05-26 |