Organization
COUNTRY DOCTOR COMMUNITY CLINIC
Active
Other names
Carolyn Downs Family Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SAUCEDO (CREDENTIALING SPECIALIST)
(206) 709-7112
Entity
Organization
Contact information
Practice address
2101 E YESLER WAY, SUITE 150, SEATTLE, WA 98122-5959
(206) 299-1900
(206) 299-1920
Mailing address
2101 E YESLER WAY, SUITE 210, SEATTLE, WA 98122-5959
(206) 299-1970
(206) 299-1920
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF.00004988
LICENSE NUMBER
WA
Enumeration date
05/02/2007
Last updated
01/26/2024
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