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Organization
PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY
Active
Organization
PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY
Active
Other names
Prescription Pad Pharmacy South
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KENYON PHARMD (DIRECTOR OF PHARMACY,AO)
(425) 228-3440
Entity
Organization
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 917-6226
(425) 917-6248
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 917-6226
(425) 917-6248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
PHAR.CF.60213405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013345
—
WA
01
—
2130796
PK
—
Enumeration date
04/05/2011
Last updated
07/19/2018
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