NPI | 1255561478 |
---|---|
Doing Business As | NORTHWEST COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | GEORGE MARTIN HIERS President 541-672-8399 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: OR rp-0001597-cs) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2023-03-07 |