| NPI | 1992836092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG IL PARK Owner 206-527-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA CF00002044) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-06-06 |