COMMUNITY COMPOUNDING PHARMACY
Organization (NPI-2)
Active
Pharmacy, Compounding Pharmacy
Provider Information
- NPI Number
1902068216- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6025 JEAN RD, LAKE OSWEGO, OR, 970355307
- Phone
- (503) 303-7373
- Fax
- (503) 344-4996
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Pharmacy
Pharmacy, Compounding Pharmacy
Primary License: OR #RP0002481CS