| NPI | 1487643318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE HILLIS Pharmacy Director 406-655-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MT 1018) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2021-09-20 |