Organization
BLUE MOUNTAIN PHARMACIES LLC
Active
Other names
Densow's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN REYNOLDS (OWNER)
(509) 339-5295
Entity
Organization
Contact information
Practice address
1011 WRIGHT AVE, RICHLAND, WA 99354-3011
(509) 943-1164
(509) 946-6477
Mailing address
1011 WRIGHT AVE, RICHLAND, WA 99354-3011
(509) 943-1164
(509) 946-6477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60212940
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130311
PK
—
Enumeration date
10/18/2006
Last updated
08/07/2014
Update your record
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