| NPI | 1114245867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MCMURRAY Owner 406-541-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MT bl20100152) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |