| NPI | 1053415562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY FORD Owner/Phar. Tech 406-752-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 836) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-09-18 |