| NPI | 1548228976 |
|---|---|
| Doing Business As | LOGAN HEALTH PHARMACY - CLINICAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN ABEL President 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1257) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-04-29 |