Organization
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Active
Other names
NorthWest Pharmaceutical Compounding, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JONES (OWNER)
(425) 385-2400
Entity
Organization
Contact information
Practice address
15021 MAIN ST, STE'S A & B, MILL CREEK, WA 98012-1651
(425) 385-2400
(425) 385-3969
Mailing address
15021 MAIN ST, STE'S A & B, MILL CREEK, WA 98012-1651
(425) 385-2400
(425) 385-3969
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHARCF60129620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4934368
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2012
Last updated
02/14/2012
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