NPI | 1427323138 |
---|---|
Other Name | MCCP |
Entity Type | Organization |
Authorized Contact | COLLEEEN A BAKER Owner/Pharmacist 406-294-6227 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MT 1346) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2019-05-01 |