Organization · Type 2 NPI
Neurevolution Medicine, LLC
Non-Pharmacy Dispensing Site · Kirkland, WA
NPI number
1023488251
Active
Practice location
11644 NE 80th St
Kirkland, WA 98033-8111
Fax (844) 854-4660
Mailing address
2980 N Beverly Glen Cir, Ste 100
Los Angeles, CA 90077-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | NT60555957 (WA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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About NPI 1023488251
Neurevolution Medicine, LLC's National Provider Identifier is 1023488251, issued on Sep 30, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Kirkland, WA. The record was last updated on Oct 30, 2015.