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

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNT60555957 (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.