# SCHWAB'S COMPOUNDING PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538216619
- **Authorized official:** MR. GRAIG SCHWAB RPH (OWNER)
- **Authorized official phone:** (509) 968-9545

## Contact information

- **Practice address:** 108 B RAILROAD AVE., KITTITAS, WA 98934
- **Practice address phone:** (509) 968-9545
- **Practice address fax:** (509) 962-3013
- **Mailing address:** PO BOX 757, ELLENSBURG, WA 98926-0757
- **Mailing address phone:** (509) 968-9545
- **Mailing address fax:** (509) 962-3013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | FO00058330 | WA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 192002748 | UBI | WA |
| 05 | — | 6058200 | — | WA |