| NPI | 1508318205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD LEPARD Owner Pharmacist 406-453-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 3973) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 23879) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |