Organization
UNION AVENUE COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM G BURKES RPH (OWNER/PHARMACIST)
(253) 752-1705
Entity
Organization
Contact information
Practice address
2302 S UNION AVE, TACOMA, WA 98405-1300
(253) 752-1705
(253) 761-9315
Mailing address
2302 S UNION AVE, TACOMA, WA 98405-1300
(253) 752-1705
(253) 761-9315
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
60126769
WA
335E00000X
Prosthetic/Orthotic Supplier
60126769
WA
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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