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Organization
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Active
Organization
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHANNON JONES RPH (OWNER/HEAD PHARMACIST)
(425) 385-2400
Entity
Organization
Contact information
Practice address
15407 MAIN ST, STE 104, MILL CREEK, WA 98012-7375
(425) 385-2400
(425) 385-3969
Mailing address
15407 MAIN ST, STE 104, MILL CREEK, WA 98012-7375
(425) 385-2400
(425) 385-3969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHAR.CF60129620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHAR.CF60129620
WASH STATE BOARD OF PHARMACY
WA
Enumeration date
08/20/2010
Last updated
03/07/2023
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