Organization
IPSEN PHARMACY SERVICES LLC
Active
Other names
Kusler's Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN IPSEN (OWNER)
(360) 568-1297
Entity
Organization
Contact information
Practice address
700 AVENUE D, SUITE 102, SNOHOMISH, WA 98290-2387
(360) 568-7787
(360) 568-3626
Mailing address
700 AVENUE D STE 102, SNOHOMISH, WA 98290-2387
(360) 568-7787
(360) 568-3626
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
60434626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144061
PK
—
Enumeration date
11/21/2013
Last updated
11/04/2016
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