| NPI | 1215479365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHIELDS Owner/ PIC 406-541-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2018-01-21 |