Organization Name: | PAYLESS COMPOUNDING LLC |
NPI Number: | 1861434219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM EILERS (PRESIDENT) |
Mailing Address: | 16100 Sw 72nd Ave Tigard |
State: | OR US |
Postal Code: | 972247745 |
Phone Number: | 5033523811 |
Fax Number: | 5036240591 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | RP0002270CS |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |