| NPI | 1114062932 |
|---|---|
| Doing Business As | LEWISTOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM WICKS President 406-538-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 111) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |