Whalio Doctors

NPI 1023347960

Union Avenue Compounding Pharmacy

Organisation Compounding Pharmacy Tacoma, WA

Practice location

Address
2302 S Union Ave, Tacoma, WA 98405-1300
Phone
(253) 752-1705
Fax
(253) 761-9315

Authorised official

Name
Kim G Burkes
Title
Owner/Pharmacist
Phone
(253) 752-1705

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence 60126769 (WA)
Prosthetic/Orthotic Supplier
Suppliers Taxonomy 335E00000X Licence 60126769 (WA)

Registry record

NPI
1023347960
Entity type
Organization
NPI issued
23 Dec 2009
Record last updated
23 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.