| 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 |