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Organization
KING COUNTY FINANCE
Active
Organization
KING COUNTY FINANCE
Active
Other names
EASTGATE PUBLIC HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ARDELL MOE (PRACTICE MANAGEMENT ADMINISTRATOR)
(206) 263-8807
Entity
Organization
Contact information
Practice address
14350 SE EASTGATE WAY, BELLEVUE, WA 98007-6458
(206) 477-8190
(206) 205-8980
Mailing address
14350 SE EASTGATE WAY, BELLEVUE, WA 98007-6458
(206) 296-4908
(206) 205-3095
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAR.CF.60490760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108127
PK
—
05
—
6005060
—
WA
Enumeration date
11/28/2006
Last updated
10/13/2022
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