| NPI | 1669517025 |
|---|---|
| Doing Business As | KELLEY-ROSS PHARMACY AT THE POLYCLINIC |
| Entity Type | Organization |
| Authorized Contact | RYAN D OFTEBRO President 206-622-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF00055786) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 208U00000X Clinical Pharmacology | |
| 261Q00000X | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-01-06 |