Organization
CASCADE COMPOUNDING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK R SCHEIDERMAN OWNER (SOLE MEMBER)
(541) 389-3671
Entity
Organization
Contact information
Practice address
19550 AMBER MEADOW DR, SUITE 170, BEND, OR 97702-3525
(541) 389-3671
(541) 728-0988
Mailing address
19550 AMBER MEADOW DR STE B, BEND, OR 97702-3525
(541) 389-3671
(541) 728-0988
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
RP-0002988-CS
OR
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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