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Organization
IPSEN PHARMACY SERVICES LLC
Active
Organization
IPSEN PHARMACY SERVICES LLC
Active
Other names
Kusler's Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN IPSEN (OWNER)
(360) 568-1297
Entity
Organization
Contact information
Practice address
700 AVENUE D, SUITE 102, SNOHOMISH, WA 98290-2387
(360) 568-7787
(360) 568-3626
Mailing address
700 AVENUE D STE 102, SNOHOMISH, WA 98290-2387
(360) 568-7787
(360) 568-3626
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
60434626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144061
PK
—
Enumeration date
11/21/2013
Last updated
11/04/2016
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