Organization
KELLEY-ROSS & ASSOC INC
Active
Other names
Union Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D OFTEBRO PHARMD (PRESIDENT)
(206) 622-3565
Entity
Organization
Contact information
Practice address
2324 EASTLAKE AVE E, SUITE 405, SEATTLE, WA 98102-3345
(206) 441-9174
(206) 448-4406
Mailing address
2324 EASTLAKE AVE E, SUITE 405, SEATTLE, WA 98102-3345
(206) 441-9174
(206) 448-4406
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00003637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4907929
NCPDP
—
01
—
CF00003637
STATE PHARMACY
WA
Enumeration date
02/21/2007
Last updated
04/22/2021
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