| NPI | 1104378439 |
|---|---|
| Doing Business As | 406 CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ERIC SHIELDS Owner/ PIC 406-541-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 42790) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2018-03-11 |