| NPI | 1962779348 |
|---|---|
| Doing Business As | POULSBO COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRANDON KENNETH KNOTT Owner 360-779-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA PHAR.CF.60264395) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2024-08-27 |