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Organization

ETS CONSULTING LLC

Active
Other names
Axis LTC Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MARIE ANDERSON (GENERAL MANAGER)
(425) 672-5800
Entity
Organization

Contact information

Practice address
24255 VAN RY BLVD STE A1, MOUNTLAKE TERRACE, WA 98043-5460
(425) 672-5810
(425) 672-5811
Mailing address
24255 VAN RY BLVD STE A1, MOUNTLAKE TERRACE, WA 98043-5460
(425) 672-5810
(425) 672-5811

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6028393
WA
Enumeration date
09/10/2019
Last updated
09/19/2025
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