Organization
NORTHERN LIGHTS COMPOUNDING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MARCHETTI PHARMD (PRESIDENT)
(906) 376-0910
Entity
Organization
Contact information
Practice address
1112 S STEPHENSON AVE STE 2, IRON MOUNTAIN, MI 49801-4038
(906) 376-0910
Mailing address
PO BOX 189, IRON MOUNTAIN, MI 49801-0189
(906) 774-1044
(906) 774-6833
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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