Organization
TULALIP CLINICAL PHARMACY
Active
Organization
TULALIP CLINICAL PHARMACY
Active
Parent organization
TULALIP CLINICAL PHARMACY
Other names
Tulalip Wellness Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TULALIP CLINICAL PHARMACY
Authorized official
KELVIN LEE PHARMD (DIRECTOR / AUTHORIZED OFFICIAL)
(360) 716-2660
Entity
Organization
Contact information
Practice address
8825 34TH AVE NE STE A, QUIL CEDA VILLAGE, WA 98271-8085
(357) 716-4000
(360) 716-3660
Mailing address
8825 34TH AVE NE STE A, QUIL CEDA VILLAGE, WA 98271-8085
(357) 716-4000
(360) 716-3660
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/05/2020
Last updated
08/29/2025
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