| NPI | 1245608819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LOUISE KOSKI R Ph/Pharmacist 406-214-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OR 0014873) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |