Organization Name: | PURITY INTEGRATIVE HEALTH & WELLNESS CENTER, PLLC |
NPI Number: | 1144626797 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHIAN M. YOUNG (OWNER) |
Mailing Address: | 3922 148th St Se Suite 203 Mill Creek |
State: | WA US |
Postal Code: | 980124752 |
Phone Number: | 4253382357 |
Fax Number: | 4253382357 |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | NT 00001328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |