| NPI | 1730500067 |
|---|---|
| Doing Business As | KELLEY-ROSS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN OFTEBRO President 206-622-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA PHARCF60434600) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2022-03-13 |