Organization
FOOTHILLS COMPOUNDING PHARMACY LLC
Active
Other names
Foothills Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH SCRIBNER (OWNER)
(360) 625-8785
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE STE 102, ENUMCLAW, WA 98022-2373
(360) 625-8785
(360) 625-8726
Mailing address
2820 GRIFFIN AVE STE 102, ENUMCLAW, WA 98022-2373
(360) 625-8785
(360) 625-8726
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
CF.60497248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158885
PK
—
Enumeration date
11/28/2014
Last updated
01/18/2017
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