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:
Map and Directions
Authorized official contact:
Name: Oftebro, Ryan D PHARMD
Phone: (206) 622-3565

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669517025 NPPES
Washington MEDICAID 6019087
Washington Other CF00055786

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