| NPI | 1972970895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A. GOLDSMITH Owner 206-525-5576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA NT60252705) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-09-23 |