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Organization
NW PHARMACEUTICAL COMPOUNDING, INC
Active
Organization
NW PHARMACEUTICAL COMPOUNDING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST FENTRESS RPH (PHARMACIST/PRESIDENT)
(541) 431-7377
Entity
Organization
Contact information
Practice address
935 WILLAGILLESPIE RD, SUITE B, EUGENE, OR 97401-2106
(541) 431-7377
(541) 431-7378
Mailing address
935 WILLAGILLESPIE RD, SUITE B, EUGENE, OR 97401-2106
(541) 431-7377
(541) 431-7378
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
RP0001584CS
OR
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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