Mountain Compounding

LBN: Mountain Compounding
Mountain Compounding is an health care organization with primary practice located at 101 S California St Suite A, Missoula MT 59801-1745. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Mountain Compounding can be contacted via phone (406) 541-3172, or through Hatheway, Gerard via phone (406) 541-3172.

Contact Information

Primary practice address
101 S California St Suite A Missoula MT 59801-1745
Phone: (406) 541-3172
Fax: (406) 541-3173
Website:
Map and Directions
Authorized official contact:
Name: Hatheway, Gerard PHARM.D.
Phone: (406) 541-3172

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 1307 Montana

Profile Details

NPI number 1548581960
LBN Legal business name Mountain Compounding
DBA Doing business as Mountain Compounding
Authorized official Hatheway, Gerard PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2010
Last updated Nov 28th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548581960 NPPES
Other 2783682 NCPDP PROVIDER IDENTIFICATION NUMBER

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