Organization
POA PHARMA NORTH AMERICA LLC
Active
Other names
Novam-Nutrition LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MADSEN SANDSTROM (CEO)
(855) 416-6826
Entity
Organization
Contact information
Practice address
4400 NE 77TH AVE, SUITE 275, VANCOUVER, WA 98662-6857
(855) 416-6826
Mailing address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(855) 416-6826
(360) 326-1621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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