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PETERSEN INVESTMENTS LLC NPI 1518504984


NPI Information

NPI: 1518504984
Provider Name: PETERSEN INVESTMENTS, LLC

Doing Business As: COLUMBIA COMPOUNDING

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
12119 NE 99TH ST STE 2030
VANCOUVER, WA
ZIP 98682
Phone: (360) 217-4250
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PETERSEN INVESTMENTS, LLC is a compounding pharmacy pharmacy in Vancouver, WA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. PETERSEN INVESTMENTS, LLC NPI is 1518504984. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Compounding.

The provider's business location address is:

12119 NE 99TH ST STE 2030
VANCOUVER, WA
ZIP 98682-461
Phone: (360) 217-4250
Fax: (360) 230-1919

The provider's authorized official is Kristopher Petersen .
The authorized official title is Managing Member and has the following contact phone number (360) 261-9040.

The enumeration date for this NPI number is 12/4/2019 and was last updated on 2/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.