| NPI | 1982025128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TINGSTAD VP CFO 206-288-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.60468146) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2017-04-10 |