Union Avenue Compounding Pharmacy

LBN: Union Avenue Compounding Pharmacy
Union Avenue Compounding Pharmacy is an health care organization with primary practice located at 2302 S Union Ave C25, Tacoma WA 98405-1300. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Union Avenue Compounding Pharmacy can be contacted via phone (253) 752-1705, or through Burkes, Kim via phone (253) 752-1705.

Contact Information

Primary practice address
2302 S Union Ave C25 Tacoma WA 98405-1300
Fax: (253) 761-9315
Website:
Authorized official contact:
Name: Burkes, Kim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X CF00057609 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X CF00057609 Washington

Profile Details

NPI number 1881718674
LBN Legal business name Union Avenue Compounding Pharmacy
DBA Doing business as
Authorized official Burkes, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated May 26th, 2010 - about 14 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 1881718674 NPPES
Washington Other 9014036 DME

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