Bald Mountain Medical Pharmacy
NPI #1588770606 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1588770606
- Entity Type
- Organization
- Organization Name
- Bald Mountain Medical Pharmacy
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1375 S LAPEER RD STE 103
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360-1421
- Phone
- (248) 814-9814
Authorized Official
- Name
- MR. PIERRE BOUTRAS, RPH
- Title
- OWNER
- Phone
- (248) 814-9814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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