| NPI | 1508385477 |
|---|---|
| Doing Business As | PHARMACY 1 AT THE MHC |
| Entity Type | Organization |
| Authorized Contact | MARTIN JARROD WILLEMS President 406-601-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT pha-phr-lic-47362) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT PHA-PHR-LIC-47362) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-05-31 |