Kelley-Ross Pharmacy At The Polyclinic
LBN: Kelley-Ross & Assoc Inc
Kelley-Ross Pharmacy At The Polyclinic is an health care organization with primary practice located at 904 7Th Ave Suite 103, Seattle WA 98104-1132. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Allopathic & Osteopathic Physicians / Clinical Pharmacology, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Kelley-Ross & Assoc Inc can be contacted via phone (206) 324-6990, or through Oftebro, Ryan D via phone (206) 622-3565.
Contact Information
Primary practice address
904 7Th Ave Suite 103
Seattle WA 98104-1132
Phone: (206) 324-6990
Fax: (206) 329-1849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | ||
| Allopathic & Osteopathic Physicians / Clinical Pharmacology | 208U00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Pharmacy | 333600000X | CF00055786 | Washington |
Profile Details
| NPI number | 1669517025 |
|---|---|
| LBN Legal business name | Kelley-Ross & Assoc Inc |
| DBA Doing business as | Kelley-Ross Pharmacy At The Polyclinic |
| Authorized official | Oftebro, Ryan D PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jan 6th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669517025 | NPPES |
| Washington | MEDICAID | 6019087 | |
| Washington | Other | CF00055786 |
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