| NPI | 1497151971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZAN WIEDERRICH KERR Patient Accounts Manager 406-395-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MT 27201) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2023-12-22 |