# COMMUNITY HEALTH CENTERS OF KING COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kent Community Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821218876
- **Authorized official:** THOMAS TROMPETER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (425) 277-1311

## Contact information

- **Practice address:** 955 POWELL AVE SW, SUITE A, RENTON, WA 98055-2908
- **Practice address phone:** (425) 277-1311
- **Practice address fax:** (425) 277-1566
- **Mailing address:** 403 E MEEKER ST, SUITE 300, KENT, WA 98030-5904
- **Mailing address phone:** (253) 372-3661
- **Mailing address fax:** (253) 372-3663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | CF00059025 | WA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4932314 | NATIONAL ASSOC BOARD OF P | WA |