| NPI | 1063574531 |
|---|---|
| Doing Business As | PHARMACY 1 LTC |
| Entity Type | Organization |
| Authorized Contact | MARTIN JARROD WILLEMS Pharmacist 406-245-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3690) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |