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Organization

POULSBO COMPOUNDING PHARMACY LLC

Active
Other names
Nordic Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON K KNOTT (PHARMACIST)
(360) 994-4340
Entity
Organization

Contact information

Practice address
325 NE HOSTMARK ST, POULSBO, WA 98370-6668
(360) 697-1043
Mailing address
PO BOX 2850, POULSBO, WA 98370-2850
(360) 994-4930

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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