| NPI | 1174600704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN STOICK Owner 406-755-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1259) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-04-24 |