National Provider Identifier Database

KELLEY ROSS ASSOC INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

KELLEY-ROSS & ASSOC INC
904 7TH AVE
SUITE 103
SEATTLE, WA98104-1132
Phone: 206-324-6990
Fax: 206-329-1849
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic/Center 261Q00000X
Clinical Pharmacology 208U00000X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X

* Indicates primary specialty

NPI Profile & details for KELLEY-ROSS & ASSOC INC

NPI Number 1669517025
Legal business name
LBN
KELLEY-ROSS & ASSOC INC
Authorized official RYAN OFTEBRO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/21/2007
Last updated 01/06/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: CF00055786
  • WA Medicaid: 6019087
  • WA Other: CF00055786 STATE PHARMACY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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