| NPI | 1376608216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLFE LEE DAVIDSON Owner 406-466-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 830) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-03-02 |