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Organization
OREGON COMPOUNDING CENTERS, INC.
Active
Organization
OREGON COMPOUNDING CENTERS, INC.
Active
Other names
Creative Compounds
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BURNHAM RPH (PHARMACIST IN CHARGE/PRESIDENT)
(503) 685-6111
Entity
Organization
Contact information
Practice address
8560 SW SALISH LN STE 100, WILSONVILLE, OR 97070-9625
(503) 685-6111
(503) 570-2831
Mailing address
8560 SW SALISH LN STE 100, WILSONVILLE, OR 97070-9625
(503) 685-6111
(503) 570-2831
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
RP0001594CS
OR
Other
Enumeration date
01/10/2008
Last updated
12/05/2013
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