# PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prescription Pad Pharmacy South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679862189
- **Authorized official:** KENNETH KENYON PHARMD (DIRECTOR OF PHARMACY,AO)
- **Authorized official phone:** (425) 228-3440

## Contact information

- **Practice address:** 400 S 43RD ST, RENTON, WA 98055-5714
- **Practice address phone:** (425) 917-6226
- **Practice address fax:** (425) 917-6248
- **Mailing address:** 400 S 43RD ST, RENTON, WA 98055-5714
- **Mailing address phone:** (425) 917-6226
- **Mailing address fax:** (425) 917-6248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | PHAR.CF.60213405 | WA | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2013345 | — | WA |
| 01 | — | 2130796 | PK | — |