| NPI | 1972646958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELDON E IHRIG Executive Vice President 206-543-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA H128) |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy (Licence: WA H128) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WA H128) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-09-12 |