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Community Compounding Pharmacy — NPI 1902068216, Lake Oswego, OR | NPI Central

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NPI 1902068216

OrganizationActive

Community Compounding Pharmacy

NPI 1902068216 · Compounding Pharmacy · Lake Oswego, OR

Provider details

NPI number: 1902068216
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Suzanne Rosenberg, Owner(503) 303-7373

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense RP0002481CS (OR)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

6025 Jean Rd

Lake Oswego, OR 97035-5307

Phone: (503) 303-7373

Fax: (503) 344-4996

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

6025 Jean Rd

Lake Oswego, OR 97035-5307

Other names (DBA / former)

Doing business as: Community Compounding Pharmacy

Registry dates

Enumerated: 2008-06-27
Last updated: 2017-04-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.