| NPI | 1508945502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSE DANIELLE WEBBER Owner 406-778-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-09-27 |