| NPI | 1316069537 |
|---|---|
| Doing Business As | PHARMACY 1 |
| Entity Type | Organization |
| Authorized Contact | MARTIN JARROD WILLEMS President 406-245-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 1049) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |