| NPI | 1912278367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHLEHEM SHAWLE Staff Pharmacist 360-254-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA PH00070793) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |