Community Compounding Pharmacy in Lake Oswego - Compounding Pharmacy
Community Compounding Pharmacy - NPI 1902068216
Community Compounding Pharmacy is a Compounding Pharmacy in Lake Oswego, Oregon. Community Compounding Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Community Compounding Pharmacy is 1902068216. The last update date is 2017-04-18.
Community Compounding Pharmacy's current location address is 6025 Jean Rd, Lake Oswego, Oregon. You can contact this provider via phone number 5033037373 and fax number 5033444996. The mailing address for Community Compounding Pharmacy is 6025 Jean Rd, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Compounding Pharmacy |
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Address | 6025 Jean Rd, Lake Oswego, Oregon |
Phone Number | 5033037373 |
Fax Number | 5033444996 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Rosenberg Suzanne |
Credentials | RPH |
Telephone Number | 5033037373 |
NPI Number Detail
NPI Number | 1902068216 |
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Provider Enumeration Date | 2008-06-27 |
Last Updated Date | 2017-04-18 |
Provider Mailing Address Detail
Address | 6025 Jean Rd |
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City | Lake Oswego |
State | Oregon (OR) |
Post Code | 970355307 |
Phone Number | 5033037373 |
Fax Number | 5033444996 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
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Taxonomy | 3336C0004X |
Licence No | RP0002481CS |
Definition: 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 pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2079590 | PK |
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What is the Community Compounding Pharmacy's unique identification number?
The Community Compounding Pharmacy has been assigned the NPI (National Provider Identifier) Number 1902068216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Community Compounding Pharmacy located?
The Community Compounding Pharmacy is located at 6025 Jean Rd, Lake Oswego, OR 970355307.
What is Community Compounding Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Community Compounding Pharmacy is Compounding Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0004X.
When did Community Compounding Pharmacy receive its 1902068216 assignment?
The Community Compounding Pharmacy was assigned its 1902068216 on 2008-06-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Community Compounding Pharmacy's details last updated?
The information pertaining to the Community Compounding Pharmacy, including its address, specialty, and other details, was most recently updated on 2017-04-18.