NPI | 1528073152 |
---|---|
Doing Business As | LOLO DRUG |
Entity Type | Organization |
Authorized Contact | ROBERT DEAN WILCOX Owner 406-273-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 137) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2010-03-23 |