| NPI | 1073853941 |
|---|---|
| Doing Business As | VANS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BONNIE REBISH PIC 406-988-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT PHAPHRLIC14805) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2017-02-20 |