| NPI | 1336175959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN JUROVICH President 406-869-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: MT 1048) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-06-06 |