OrganizationActive
Willamette Compounding Pharmacy
NPI 1750554622 · Compounding Pharmacy · Salem, OR
Provider details
- NPI number
- 1750554622
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephen Quisenberry, President(503) 364-3336
- License
- 2122 (OR)
Specialties & taxonomies
Suppliers
Practice location
150 Liberty St Se
Salem, OR 97301-3506
Phone: (504) 364-3336
Approximate (ZIP-level) locationGet directions
Mailing address
150 Liberty St Se
Salem, OR 97301-3506
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2008-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.