| NPI | 1578785119 |
|---|---|
| Doing Business As | PACIFIC COMPOUNDS PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM GUSTAFSON Manager 503-640-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP-0001904-CS) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-12-02 |