| NPI | 1083946123 |
|---|---|
| Doing Business As | MIRX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN LARSON Senior Vice President 406-245-3575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MT PHA-PHR-LIC-27586) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT PHA-PHR-LIC-27586) |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2016-06-14 |