Organization
PAY LESS COMPOUNDERS LLC
Active
Other names
Northwest Compounders
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EILERS BS PHARMACY (OWNER, CEO)
(971) 998-6876
Entity
Organization
Contact information
Practice address
17972 SW MCEWAN RD, PORTLAND, OR 97224-7218
(503) 352-3811
(503) 624-0591
Mailing address
PO BOX 2036, LAKE OSWEGO, OR 97035-0630
(503) 352-3811
(503) 624-0591
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHNR.FO.60287827
OR
3336C0004X
Compounding Pharmacy
Primary
22360MS
ID
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079361
PK
—
Enumeration date
06/11/2006
Last updated
11/01/2016
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