Organization
CASCADE SPECIALTY PHARMACY LLC
Active
Other names
Cascade Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH MANSOUR (M&A LICENSING MANAGER)
(224) 715-2685
Entity
Organization
Contact information
Practice address
19062 STATE HIGHWAY 305 NE, POULSBO, WA 98370-7336
(360) 779-2737
(360) 779-4905
Mailing address
19062 STATE HIGHWAY 305 NE, POULSBO, WA 98370-7336
(360) 779-2737
(360) 779-4905
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134570
PK
—
Enumeration date
10/18/2010
Last updated
07/31/2025
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