| NPI | 1073514428 |
|---|---|
| Doing Business As | PLENTYWOOD REXALL DRUG |
| Entity Type | Organization |
| Authorized Contact | MARVIN A EBERLING Owner 406-765-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 984) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 984) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 984) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MT 984) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2016-01-21 |