| NPI | 1497591341 |
|---|---|
| Doing Business As | MONTANA WELLNESS RX |
| Entity Type | Organization |
| Authorized Contact | AMIR KHEDMATIAN President/PIC 310-451-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |