| NPI | 1902909047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EVANS Owner 425-776-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA FL00057301) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |