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 | 3336M0002X Pharmacy, Mail Order Pharmacy |
333600000X Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR PHNR.FO.60287827) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2016-11-01 |