Specialty Compounding Pharmacy Llc

LBN: Specialty Compounding Pharmacy Llc
Specialty Compounding Pharmacy Llc is an health care organization with primary practice located at 9150 Sw Pioneer Ct Ste F , Wilsonville OR 97070-9623. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Specialty Compounding Pharmacy Llc can be contacted via phone (503) 582-1776, or through White, Richard via phone (503) 582-1776.

Contact Information

Primary practice address
9150 Sw Pioneer Ct Ste F Wilsonville OR 97070-9623
Phone: (503) 582-1776
Fax: (503) 466-3098
Website:
Map and Directions
Authorized official contact:
Name: White, Richard
Phone: (503) 582-1776

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X RP0003230CS Oregon
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1518409788
LBN Legal business name Specialty Compounding Pharmacy Llc
DBA Doing business as
Authorized official White, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2016
Last updated Mar 10th, 2017 - about 7 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 1518409788 NPPES
Other 2168204 PK

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