Organization
HIERS ENTERPRISES
Active
Other names
Northwest Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MARTIN HIERS IV PHARMD. (PRESIDENT)
(541) 672-8399
Entity
Organization
Contact information
Practice address
1350 NE STEPHENS ST, SUITE 42, ROSEBURG, OR 97470-6418
(541) 672-8399
(541) 672-8330
Mailing address
1350 NE STEPHENS ST, SUITE 42, ROSEBURG, OR 97470-6418
(541) 672-8399
(541) 672-8330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0001597-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3813311
NABP
—
Enumeration date
07/22/2009
Last updated
03/07/2023
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