Organization · Type 2 NPI
Community Compounding Pharmacy
Compounding Pharmacy · Lake Oswego, OR
Practice location
6025 Jean Rd
Lake Oswego, OR 97035-5307
Fax (503) 344-4996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | RP0002481CS (OR) |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
5 other providers at this address
- Aaron Bohn, PharmDPharmacist Lake Oswego, OR NPI 1265039457
- Carrie Barfield, PharmDPharmacist Lake Oswego, OR NPI 1295284420
- Cullen McClay Smith, PharmDPharmacist Lake Oswego, OR NPI 1487471892
- Duc Xuan Nguyen, PharmDPharmacist Lake Oswego, OR NPI 1285141580
- Stephen Robert Kimbrough, CPHTPharmacy Technician Lake Oswego, OR NPI 1790209450
About NPI 1902068216
Community Compounding Pharmacy's National Provider Identifier is 1902068216, issued on Jun 27, 2008. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Lake Oswego, OR. The record was last updated on Apr 18, 2017.