NPI 1003603903

Northern Lights Compounding INC.

Organisation Compounding Pharmacy Iron Mountain, MI

Practice location

Address: 1112 S Stephenson Ave STE 2, Iron Mountain, MI 49801-4038
Phone: (906) 376-0910
Mailing address: PO Box 189, Iron Mountain, MI 49801-0189

Authorised official

Name: Jordan Marchetti
Title: President
Phone: (906) 376-0910

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X

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Registry record

NPI: 1003603903
Entity type: Organization
NPI issued: 23 Apr 2025
Record last updated: 23 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.