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Organization
SCHWAB'S COMPOUNDING PHARMACY, INC
Active
Organization
SCHWAB'S COMPOUNDING PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAIG SCHWAB RPH (OWNER)
(509) 968-9545
Entity
Organization
Contact information
Practice address
108 B RAILROAD AVE., KITTITAS, WA 98934
(509) 968-9545
(509) 962-3013
Mailing address
PO BOX 757, ELLENSBURG, WA 98926-0757
(509) 968-9545
(509) 962-3013
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
FO00058330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192002748
UBI
WA
05
—
6058200
—
WA
Enumeration date
01/04/2007
Last updated
06/19/2008
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