Organization
BLUE MOUNTAIN COMPOUNDING LLC
Active
Other names
Blue Mountain Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN WEBER (PARTNER)
(484) 287-6341
Entity
Organization
Contact information
Practice address
2453 PLAZA CT, STE B, BATH, PA 18014-8762
(484) 287-6341
(484) 287-6340
Mailing address
2453 PLAZA CT, STE B, BATH, PA 18014-8762
(484) 287-6341
(484) 287-6340
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PP482197
PA
Other
Enumeration date
04/19/2012
Last updated
04/25/2012
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