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Contact Information

SCHWAB'S COMPOUNDING PHARMACY, INC
108 B RAILROAD AVE.
KITTITAS, WA98934
 Phone: 509-968-9545
 Fax: 509-962-3013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SCHWAB'S COMPOUNDING PHARMACY, INC

NPI # 1538216619
LBN Legal business name SCHWAB'S COMPOUNDING PHARMACY, INC
Authorized official GRAIG SCHWAB - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 06/19/2008 - About 18 years ago
Identifiers
WA License # FO00058330
WA Medicaid 6058200
WA Other 192002748 UBI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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