| NPI | 1255500740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLFE LEE DAVIDSON Owner/Pharmacist 406-466-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 830) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |