| NPI | 1104715069 |
|---|---|
| Doing Business As | PHARM406 BUTTE |
| Entity Type | Organization |
| Authorized Contact | KYLE AUSTIN President 406-717-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-09-24 |