| NPI | 1003841016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANS RICHARDSON Owner/Pharmacy Tech 406-363-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 1097) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-01-12 |