NPI 1124423793 · live from the CMS NPI Registry
Cascade Compounding Center LLC
Pharmacy, Compounding Pharmacy in Bend, OR. National Provider Identifier 1124423793, active.
NPI record
| NPI | 1124423793 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 19550 Amber Meadow Dr, Suite 170, Bend, OR 97702 |
| Practice phone | 541-389-3671 |
| Mailing address | 19550 Amber Meadow Dr Ste B, Bend, OR 97702 |
| Enumerated | October 25, 2014 |
| Last updated | October 25, 2014 |
| Authorized official | Erick Scheiderman, Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | RP-0002988-CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.