Organization
CVS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSSEF KHALIFA (PHARMACY SUPERVISOR)
(319) 610-3091
Entity
Organization
Contact information
Practice address
10712 SE CARR RD, RENTON, WA 98055-5826
(425) 277-1040
Mailing address
10712 SE CARR RD, RENTON, WA 98055-5826
(425) 277-1040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60570288
WA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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