| NPI | 1528469566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE VAN DE RIET Owner 406-543-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: 235) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: 235) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |