| NPI | 1902155419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DC RX1200022) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-08-22 |