Provider First Line Business Practice Location Address:
8800 14TH AVE S
Provider Second Line Business Practice Location Address:
PHARMACY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108-4864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-762-3397
Provider Business Practice Location Address Fax Number:
206-764-8362
Provider Enumeration Date:
04/01/2008