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
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