| NPI | 1992856629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL JAMES DANIEK Operations Manager 206-323-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA 602225141) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |