KELLEY-ROSS & ASSOC INC
910 Lenora St Ste 152
Seattle, WA 98121
206-405-3565
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336L0003X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | WA | CF00058874 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4932186 | OTHER | |
6029714 | WA | MEDICAID |