NPI | 1548581960 |
---|---|
Doing Business As | MOUNTAIN COMPOUNDING |
Entity Type | Organization |
Authorized Contact | GERARD HATHEWAY Director Of Pharmacy 406-541-3172 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MT 1307) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2012-11-28 |