Organization
PINNACLE COMPOUNDING, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE JACKSON MD (GENERAL PARTNER)
(661) 435-9287
Entity
Organization
Contact information
Practice address
1120 KENSINGTON AVE, SUITE E, MISSOULA, MT 59801-5619
(406) 541-6121
(406) 541-6267
Mailing address
PO BOX 1615, MISSOULA, MT 59806-1615
(855) 466-1076
(406) 541-6267
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
03/10/2014
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