| NPI | 1992102453 |
|---|---|
| Doing Business As | FOOTHILLS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REBEKAH SCRIBNER Owner 360-625-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WA CF.60497248) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2017-01-18 |