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 Clinic/Center | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2021-01-06 |