Organization
PUGET SOUND DRUG CORPORATION
Active
Other names
KEY PHARMACY AND HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CORRISTON RPH (PHARMACIST/OWNER)
(206) 878-3900
Entity
Organization
Contact information
Practice address
23422 PACIFIC HWY S, KENT, WA 98032-2718
(206) 878-3900
(206) 878-1114
Mailing address
23422 PACIFIC HWY S, KENT, WA 98032-2718
(206) 878-3900
(206) 878-1114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11075
WA STATE L&I
WA
05
—
9016130
—
WA
05
—
9030644
—
WA
05
—
9035387
—
WA
01
—
KE0381
REGENCE RIDER
WA
Enumeration date
09/15/2006
Last updated
08/22/2020
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