Organization
BLUE MOUNTAIN PHARMACY INC
Active
Organization
BLUE MOUNTAIN PHARMACY INC
Active
Other names
Pomeroy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DYCE THURSTON PHARMD (PRESIDENT)
(509) 382-2536
Entity
Organization
Contact information
Practice address
764 MAIN ST, POMEROY, WA 99347-9718
(509) 843-1821
(509) 843-3447
Mailing address
176 E MAIN ST, DAYTON, WA 99328-1393
(509) 382-2536
(509) 382-2067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243871
—
WA
Enumeration date
11/03/2022
Last updated
06/19/2023
Update your record
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