Organization
POULSBO COMPOUNDING PHARMACY LLC
Active
Other names
Poulsbo Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON KENNETH KNOTT PHARMD (OWNER)
(360) 779-2737
Entity
Organization
Contact information
Practice address
19062 STATE HIGHWAY 305 NE, POULSBO, WA 98370-7336
(360) 779-2737
Mailing address
PO BOX 2850, POULSBO, WA 98370-2850
(360) 779-2737
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHAR.CF.60264395
WA
Other
Enumeration date
11/29/2011
Last updated
08/27/2024
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