| NPI | 1578430625 |
|---|---|
| Doing Business As | BALD MOUNTAIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIMON KALJAJ PIC 248-607-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |