| NPI | 1124403753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA A DENNIS Area Business Office COO Rdinator 406-247-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |