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Organization
POULSBO COMPOUNDING PHARMACY LLC
Active
Organization
POULSBO COMPOUNDING PHARMACY LLC
Active
Other names
Poulsbo Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON KENNETH KNOTT PHARMD (OWNER)
(360) 779-2737
Entity
Organization
Contact information
Practice address
19062 STATE HIGHWAY 305 NE, POULSBO, WA 98370-7336
(360) 779-2737
Mailing address
PO BOX 2850, POULSBO, WA 98370-2850
(360) 779-2737
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHAR.CF.60264395
WA
Other
Enumeration date
11/29/2011
Last updated
08/27/2024
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