Pacific Compounds Pharmacy, Llc

LBN: Pacific Compounds Pharmacy Llc
Pacific Compounds Pharmacy, Llc is an health care organization with primary practice located at 327 Se 3Rd Ave , Hillsboro OR 97123-4001. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Pacific Compounds Pharmacy Llc can be contacted via phone (503) 640-3080, or through Gustafson, Adam via phone (503) 640-3080.

Contact Information

Primary practice address
327 Se 3Rd Ave Hillsboro OR 97123-4001
Phone: (503) 640-3080
Fax: (503) 640-3208
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Adam
Phone: (503) 640-3080

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X RP-0001904-CS Oregon

Profile Details

NPI number 1578785119
LBN Legal business name Pacific Compounds Pharmacy Llc
DBA Doing business as Pacific Compounds Pharmacy, Llc
Authorized official Gustafson, Adam
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Dec 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578785119 NPPES
Other 3814402 NCPDP PROVIDER IDENTIFICATION NUMBER

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