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Organization
COUNTRY DOCTOR COMMUNITY CLINIC
Active
Organization
COUNTRY DOCTOR COMMUNITY CLINIC
Active
Other names
Carolyn Downs Family Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SAUCEDO (CREDENTIALING SPECIALIST)
(206) 709-7112
Entity
Organization
Contact information
Practice address
2101 E YESLER WAY, SUITE 150, SEATTLE, WA 98122-5959
(206) 299-1900
(206) 299-1920
Mailing address
2101 E YESLER WAY, SUITE 210, SEATTLE, WA 98122-5959
(206) 299-1970
(206) 299-1920
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.00004988
LICENSE NUMBER
WA
Enumeration date
05/02/2007
Last updated
01/26/2024
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