| NPI | 1902068216 |
|---|---|
| Doing Business As | COMMUNITY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUZANNE ROSENBERG Owner 503-303-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP0002481CS) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2017-04-18 |