Organization
NORTHWEST KIDNEY CENTERS
Active
Parent organization
NORTHWEST KIDNEY CENTERS
Other names
NORTHWEST KIDNEY CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST KIDNEY CENTERS
Authorized official
JENNIFER D. ESLAVA (CFO)
(206) 720-8506
Entity
Organization
Contact information
Practice address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 343-4870
(206) 343-4884
Mailing address
12901 20TH AVE S STE 100, SEATAC, WA 98168-5159
(206) 292-2771
(206) 860-5821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00003625
WA
3336C0002X
Clinic Pharmacy
Primary
20609MS
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044789
—
WA
01
—
2108628
PK
—
01
—
PHAR.CF.70014609
PHARMACY
WA
Enumeration date
06/16/2006
Last updated
10/14/2025
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