NPI | 1902277817 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM M. CELMER Medical Director 206-726-0034 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT00000832) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-19 |