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SPECIALTY COMPOUNDING PHARMACY LLC NPI 1518409788


NPI Information

NPI: 1518409788
Provider Name: SPECIALTY COMPOUNDING PHARMACY LLC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
9150 SW PIONEER CT STE F
WILSONVILLE, OR
ZIP 97070
Phone: (503) 582-1776
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SPECIALTY COMPOUNDING PHARMACY LLC is a compounding pharmacy pharmacy in Wilsonville, OR. The provider is 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 compounding practice. SPECIALTY COMPOUNDING PHARMACY LLC NPI is 1518409788. The provider is registered as an organization entity type.

The provider's business location address is:

9150 SW PIONEER CT STE F
WILSONVILLE, OR
ZIP 97070-623
Phone: (503) 582-1776
Fax: (503) 466-3098

The provider's authorized official is Richard White .
The authorized official title is Owner and has the following contact phone number (503) 582-1776.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 3/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3333600000XPharmacyNo
43336C0004XPharmacyCompounding PharmacyRP0003230CSOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12168204OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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