Organization
KELLEY-ROSS & ASSOCIATES, INC.
Active
Other names
Kelley-Ross Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN N HANSEN PHARMD (TECHNOLOGY DIRECTOR)
(206) 930-9985
Entity
Organization
Contact information
Practice address
2324 EASTLAKE AVE E, SUITE 400, SEATTLE, WA 98102-3345
(206) 838-4590
(206) 838-4599
Mailing address
2324 EASTLAKE AVE E, SUITE 400, SEATTLE, WA 98102-3345
(206) 838-4590
(206) 838-4599
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
FL00059155
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6030811
—
WA
01
—
FL00059155
PHARMACY LICENSE
WA
Enumeration date
08/15/2007
Last updated
10/18/2021
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