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Organization
PAY LESS COMPOUNDERS LLC
Active
Organization
PAY LESS COMPOUNDERS LLC
Active
Other names
Northwest Compounders
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EILERS BS PHARMACY (OWNER, CEO)
(971) 998-6876
Entity
Organization
Contact information
Practice address
17972 SW MCEWAN RD, PORTLAND, OR 97224-7218
(503) 352-3811
(503) 624-0591
Mailing address
PO BOX 2036, LAKE OSWEGO, OR 97035-0630
(503) 352-3811
(503) 624-0591
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHNR.FO.60287827
OR
3336C0004X
Compounding Pharmacy
Primary
22360MS
ID
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079361
PK
—
Enumeration date
06/11/2006
Last updated
11/01/2016
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