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Contact Information

BLUE MOUNTAIN PHARMACY INC
764 MAIN ST
POMEROY, WA99347-9718
 Phone: 509-843-1821
 Fax: 509-843-3447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN PHARMACY INC

NPI # 1881301323
LBN Legal business name BLUE MOUNTAIN PHARMACY INC
Authorized official SEAN THURSTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2022
Last updated 06/19/2023 - About 3 years ago
Identifiers
WA Medicaid 2243871
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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