Bald Mountain Medical Pharmacy

LBN: Bald Mountain Medical Pharmacy
Bald Mountain Medical Pharmacy is an health care organization with primary practice located at 1375 S Lapeer Rd Ste 103 , Lake Orion MI 48360-1421. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Bald Mountain Medical Pharmacy can be contacted via phone (248) 814-9814, or through Boutras, Pierre via phone (248) 814-9814.

Contact Information

Primary practice address
1375 S Lapeer Rd Ste 103 Lake Orion MI 48360-1421
Phone: (248) 814-9814
Fax: (248) 814-9818
Website:
Map and Directions
Authorized official contact:
Name: Boutras, Pierre RPH
Phone: (248) 814-9814

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007701 Michigan

Profile Details

NPI number 1588770606
LBN Legal business name Bald Mountain Medical Pharmacy
DBA Doing business as
Authorized official Boutras, Pierre RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588770606 NPPES
Michigan Other 2364862 NCPDP

Popular Providers