Organization
MOUNTAIN COMPOUNDING
Active
Other names
Mountain Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD HATHEWAY PHARM.D. (DIRECTOR OF PHARMACY)
(406) 541-3172
Entity
Organization
Contact information
Practice address
101 S CALIFORNIA ST, SUITE A, MISSOULA, MT 59801-1745
(406) 541-3172
(406) 541-3173
Mailing address
10 SOUTH CALIFORNIA ST, SUITE A, MISSOULA, MT 59801
(406) 541-3172
(406) 541-3173
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
1307
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2783682
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2010
Last updated
11/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us