| NPI | 1922080233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEE-WON PATTEN Pharmacist 253-581-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA PF00002516) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PF00002516) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |