| NPI | 1356557938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN JOSEPH LINDBURG Pharmacist 406-676-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 810877531) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |