Organization
SPECIALTY COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WHITE (OWNER)
(503) 582-1776
Entity
Organization
Contact information
Practice address
9150 SW PIONEER CT STE F, WILSONVILLE, OR 97070-9623
(503) 582-1776
(503) 466-3098
Mailing address
9150 SW PIONEER CT STE F, WILSONVILLE, OR 97070-9623
(503) 582-1776
(503) 466-3098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
RP0003230CS
OR
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168204
PK
—
Enumeration date
11/04/2016
Last updated
03/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us