Bald Mountain Medical Pharmacy in Lake Orion - Pharmacy

Bald Mountain Medical Pharmacy - NPI 1588770606

Bald Mountain Medical Pharmacy is a Pharmacy in Lake Orion, Michigan. Bald Mountain Medical Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Bald Mountain Medical Pharmacy is 1588770606. The last update date is 2020-08-22.

Bald Mountain Medical Pharmacy's current location address is 1375 S Lapeer Rd Ste 103, Lake Orion, Michigan. You can contact this provider via phone number 2488149814 and fax number 2488149818. The mailing address for Bald Mountain Medical Pharmacy is 1375 S Lapeer Rd Ste 103, Lake Orion, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bald Mountain Medical Pharmacy
Address 1375 S Lapeer Rd Ste 103, Lake Orion, Michigan
Phone Number 2488149814
Fax Number 2488149818
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Boutras Pierre
Credentials RPH
Telephone Number 2488149814

NPI Number Detail

NPI Number 1588770606
Provider Enumeration Date 2006-08-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1375 S Lapeer Rd Ste 103
City Lake Orion
State Michigan (MI)
Post Code 483601421
Phone Number 2488149814
Fax Number 2488149818

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 5301007701
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2364862 MI NCPDP

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FAQs about Bald Mountain Medical Pharmacy

What is the unique 10-digit identifier code assigned to Bald Mountain Medical Pharmacy by the Centers for Medicare & Medicaid Services?

The Bald Mountain Medical Pharmacy has been issued the NPI (National Provider Identifier) 1588770606 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Bald Mountain Medical Pharmacy's physical address?

The Bald Mountain Medical Pharmacy is physically located at 1375 S Lapeer Rd Ste 103, in the city of Lake Orion, MI, with the postal code 483601421.

What is Bald Mountain Medical Pharmacy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bald Mountain Medical Pharmacy is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

When was the Bald Mountain Medical Pharmacy's 1588770606 issued?

The Bald Mountain Medical Pharmacy's 1588770606 was issued on 2006-08-22.

When was the information pertaining to Bald Mountain Medical Pharmacy most recently updated or revised?

The details related to Bald Mountain Medical Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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