| NPI | 1093870560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLINTON KYP CURTIS Pharmacist 406-642-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: MT 1034) | |
| 347C00000X Private Vehicle (Licence: MT 13-30123) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-07-24 |