NPI | 1467406389 |
---|---|
Doing Business As | BENTON PHARMACY |
Entity Type | Organization |
Authorized Contact | CHRIS HALKO Rph,Owner 406-622-5588 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1151) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-05-22 |
Last Update Date | 2023-10-16 |