Organization
BIOCOMPOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE KISSIRE (OWNER)
(509) 528-4118
Entity
Organization
Contact information
Practice address
6515 W CLEARWATER AVE, #302, KENNEWICK, WA 99336-1790
(509) 736-9988
(509) 736-9922
Mailing address
6515 W CLEARWATER AVE, #302, KENNEWICK, WA 99336-1790
(509) 736-9988
(509) 736-9922
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
3336C0004X
WA
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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