| NPI | 1497743959 |
|---|---|
| Doing Business As | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYNN BEYERLE Pharmacist 406-488-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MT 1008) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 1008) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MT 1008) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-12-11 |