OrganizationActive
Specialty Pharmcy, Inc
NPI 1699197459 · Compounding Pharmacy · Wilsonville, OR
Provider details
- NPI number
- 1699197459
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Authorized official
- Lauren Braden, Pharmacist in Charge
Practice location
9150 Sw Pioneer Ct Ste E
Wilsonville, OR 97070-9623
Phone: (503) 303-7111
Fax: (203) 210-0388
Mailing address
9150 Sw Pioneer Ct Ste E
Wilsonville, OR 97070-9623
Registry dates
- Enumerated
- 2014-01-14
- Last updated
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.