Organization
UNIVERSITY COMPOUNDERS LLC
Active
Other names
Progress Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA YIP (MANAGER)
(503) 427-0361
Entity
Organization
Contact information
Practice address
9150 SW PIONEER CT, WILSONVILLE, OR 97070-9623
(503) 427-0361
(971) 224-4385
Mailing address
9150 SW PIONEER CT, WILSONVILLE, OR 97070-9623
(503) 427-0361
(971) 224-4385
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
RP-0002240-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134542
PK
—
Enumeration date
04/24/2012
Last updated
03/30/2016
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