NPI | 1861434219 |
---|---|
Doing Business As | NORTHWEST COMPOUNDERS |
Entity Type | Organization |
Authorized Contact | THOMAS EILERS Owner, CEO 971-998-6876 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: ID 22360MS) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR PHNR.FO.60287827) | |
3336M0002X Pharmacy Mail Order Pharmacy | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2016-11-01 |