Portland Compounding Pharmacy LLC

NPI #1558373613 in Portland, Oregon

Provider Information

NPI Number
1558373613
Entity Type
Organization
Organization Name
Portland Compounding Pharmacy LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Aug 13, 2006
Last Updated
Nov 15, 2018

Practice Location

Address
2606 NE BROADWAY ST STE B
State
Oregon
ZIP Code
97232-1898
Phone
(503) 281-4161

Authorized Official

Name
NATALIE GUSTAFSON, PHARMD
Title
DIRECTOR OF PHARMACY
Phone
(503) 281-4161

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy

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