| NPI | 1518973726 |
|---|---|
| Doing Business As | PHARMACY 1 |
| Entity Type | Organization |
| Authorized Contact | MARTIN JARROD WILLEMS President 406-245-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 1049) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |