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Organization
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Active
Organization
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Active
Other names
NorthWest Pharmaceutical Compounding, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JONES (OWNER)
(425) 385-2400
Entity
Organization
Contact information
Practice address
15021 MAIN ST, STE'S A & B, MILL CREEK, WA 98012-1651
(425) 385-2400
(425) 385-3969
Mailing address
15021 MAIN ST, STE'S A & B, MILL CREEK, WA 98012-1651
(425) 385-2400
(425) 385-3969
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHARCF60129620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4934368
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2012
Last updated
02/14/2012
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