| NPI | 1073653218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN STERNHAGEN Pharmacist In Charge 406-994-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MT PHA-PHR-LIC-390) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-02-23 |