Whalio Doctors

NPI 1992102453

Foothills Compounding Pharmacy LLC

Organisation Compounding Pharmacy Enumclaw, WA

Practice location

Address
2820 Griffin Ave STE 102, Enumclaw, WA 98022-2373
Phone
(360) 625-8785
Fax
(360) 625-8726

Authorised official

Name
Rebekah Scribner
Title
Owner
Phone
(360) 625-8785

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence CF.60497248 (WA)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1992102453
Entity type
Organization
NPI issued
28 Nov 2014
Record last updated
18 Jan 2017

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.