Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bald Mountain Medical Pharmacy

Organization Pharmacy · NPI 1588770606

Bald Mountain Medical Pharmacy is a Pharmacy in Lake Orion, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

1375 S Lapeer Rd Ste 103
Lake Orion, MI 48360-1421
Phone: (248) 814-9814
Fax: (248) 814-9818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 5301007701 (MI)

Record details

NPI number1588770606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pierre Boutras — Owner · (248) 814-9814
NPI enumeratedAugust 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1375 S Lapeer Rd Ste 103, Lake Orion, MI 48360-1421