Country Doctor Community Clinic
NPI #1639390982 in Seattle, Washington
Provider Information
- NPI Number
- 1639390982
- Entity Type
- Organization
- Organization Name
- Country Doctor Community Clinic
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- May 2, 2007
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 510 19TH AVE E
- City
- Seattle
- State
- Washington
- ZIP Code
- 98112-4095
- Phone
- (206) 709-7116
Authorized Official
- Name
- MARIA SAUCEDO
- Title
- CREDENTIALING SPECIALIST
- Phone
- (206) 709-7112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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