| NPI | 1154513919 |
|---|---|
| Doing Business As | KELLEY-ROSS LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN N HANSEN Technology Director 206-930-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA FL00059155) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-10-18 |