| NPI | 1134902513 |
|---|---|
| Doing Business As | KELLEY-ROSS PHARMACY AT THE POLYCLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN E. BEACH Vice President 206-838-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |