Provider Demographics
NPI:1598052516
Name:L SQUARED BUSINESS PARTNERS PSC
Entity Type:Organization
Organization Name:L SQUARED BUSINESS PARTNERS PSC
Other - Org Name:COMPOUNDING SOLUTIONS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:206-686-4484
Mailing Address - Street 1:2611 NE 125TH ST
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4373
Mailing Address - Country:US
Mailing Address - Phone:206-686-4484
Mailing Address - Fax:206-686-4485
Practice Address - Street 1:2611 NE 125TH ST
Practice Address - Street 2:SUITE 100B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4373
Practice Address - Country:US
Practice Address - Phone:206-686-4484
Practice Address - Fax:206-686-4485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAFC25564653336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy