Community Compounding Pharmacy

LBN: Community Compounding Pharmacy
Community Compounding Pharmacy is an health care organization with primary practice located at 6025 Jean Rd , Lake Oswego OR 97035-5307. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Community Compounding Pharmacy can be contacted via phone (503) 303-7373, or through Rosenberg, Suzanne via phone (503) 303-7373.

Contact Information

Primary practice address
6025 Jean Rd Lake Oswego OR 97035-5307
Phone: (503) 303-7373
Fax: (503) 344-4996
Website:
Map and Directions
Authorized official contact:
Name: Rosenberg, Suzanne RPH
Phone: (503) 303-7373

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X RP0002481CS Oregon

Profile Details

NPI number 1902068216
LBN Legal business name Community Compounding Pharmacy
DBA Doing business as Community Compounding Pharmacy
Authorized official Rosenberg, Suzanne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Apr 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902068216 NPPES
Other 2079590 PK

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