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MOUNTAIN COMPOUNDING NPI 1548581960


NPI Information

NPI: 1548581960
Provider Name: MOUNTAIN COMPOUNDING

Doing Business As: MOUNTAIN COMPOUNDING

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
101 S CALIFORNIA ST
SUITE A
MISSOULA, MT
ZIP 59801
Phone: (406) 541-3172
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MOUNTAIN COMPOUNDING is a compounding pharmacy pharmacy in Missoula, MT. 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. MOUNTAIN COMPOUNDING NPI is 1548581960. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Compounding.

The provider's business location address is:

101 S CALIFORNIA ST
SUITE A
MISSOULA, MT
ZIP 59801-745
Phone: (406) 541-3172
Fax: (406) 541-3173

The provider's authorized official is Gerard Hatheway .
The authorized official title is Director Of Pharmacy and has the following contact phone number (406) 541-3172.

The enumeration date for this NPI number is 6/21/2010 and was last updated on 11/28/2012.


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
13336C0004XPharmacyCompounding Pharmacy1307MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12783682OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 4/28/2024

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