Organization
SCHWABS COMPOUNDING PHARMACY
Active
Other names
SCHWABS COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GRAIG SCHWAB (OWNER)
(509) 962-3013
Entity
Organization
Contact information
Practice address
108 B RAILROAD AVE, KITTITAS, WA 98934
(509) 968-9545
(509) 968-9545
Mailing address
PO BOX 757, ELLENSBURG, WA 98926-1921
(509) 968-9545
(509) 968-9545
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PHAR.CF.00058330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107661
PK
—
05
—
6058200
—
WA
Enumeration date
07/30/2006
Last updated
04/21/2016
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