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 |