| NPI | 1174945406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JESSOP C Ph T/Owner 406-363-6203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 20886) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2023-09-18 |