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Organization
HIERS ENTERPRISES
Active
Organization
HIERS ENTERPRISES
Active
Other names
Northwest Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MARTIN HIERS IV PHARMD. (PRESIDENT)
(541) 672-8399
Entity
Organization
Contact information
Practice address
1350 NE STEPHENS ST, SUITE 42, ROSEBURG, OR 97470-6418
(541) 672-8399
(541) 672-8330
Mailing address
1350 NE STEPHENS ST, SUITE 42, ROSEBURG, OR 97470-6418
(541) 672-8399
(541) 672-8330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0001597-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3813311
NABP
—
Enumeration date
07/22/2009
Last updated
03/07/2023
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